Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $73.79 / $73.79	Facility		$73.79	$73.79	$73.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $70.62 / $73.79	Professional		$68.79	$70.62	$73.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.65 / $192.82 / $249.95	Facility		$95.65	$192.82	$249.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $103.01 / $176.59	Professional		$92.84	$103.01	$176.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $172.45	Facility		$81.70	$81.70	$172.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $701.94	Professional		$59.64	$81.70	$701.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $96.44 / $96.44	Professional		$96.44	$96.44	$96.44
United Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $71.26 / $118.76	Professional		$54.67	$71.26	$118.76