Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $30.92 / $30.92	Facility		$30.92	$30.92	$30.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $29.59 / $30.92	Professional		$28.82	$29.59	$30.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $80.78 / $104.72	Facility		$40.07	$80.78	$104.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.15 / $73.97	Professional		$38.90	$43.15	$73.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $72.23	Facility		$36.72	$36.72	$72.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $294.02	Professional		$26.81	$36.72	$294.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $40.42 / $40.42	Professional		$40.42	$40.42	$40.42
United Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $30.34 / $49.76	Professional		$22.90	$30.34	$49.76