Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $109.65	Professional		$57.54	$72.44	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $199.53	Facility		$95.50	$95.50	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $177.83	Professional		$102.33	$102.33	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $234.42 / $234.42	Facility		$81.28	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $707.95	Professional		$60.26	$60.26	$707.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $151.36	Facility		$64.57	$87.10	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $117.49	Professional		$58.88	$77.62	$117.49