Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $52.33 / $68.59	Professional		$50.97	$52.33	$68.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.51 / $142.88 / $185.22	Facility		$71.51	$142.88	$185.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $77.01 / $132.01	Professional		$68.80	$77.01	$132.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $146.13	Facility		$68.45	$68.45	$146.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $68.45 / $612.48	Professional		$49.98	$68.45	$612.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $71.47 / $71.47	Professional		$71.47	$71.47	$71.47
United Facility/Professional Facility Modifier Low / Median / High Price $119.95 / $119.95 / $119.95	Facility		$119.95	$119.95	$119.95
United Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $58.62 / $91.94	Professional		$44.26	$58.62	$91.94