Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $47.66 / $47.66	Facility		$47.66	$47.66	$47.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $45.62 / $49.39	Professional		$44.43	$45.62	$49.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.86 / $124.55 / $161.46	Facility		$64.86	$124.55	$161.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $69.84 / $119.75	Professional		$59.97	$69.84	$119.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $120.53	Facility		$62.72	$62.72	$120.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $505.18	Professional		$45.79	$62.72	$505.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $62.30 / $64.58	Professional		$62.30	$62.30	$64.58
United Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $104.56 / $104.56	Facility		$104.56	$104.56	$104.56
United Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $51.10 / $76.70	Professional		$38.58	$51.10	$76.70