Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $182.36 / $182.36	Facility		$27.58	$182.36	$182.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $38.31 / $43.18	Professional		$32.69	$38.31	$43.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.16 / $88.99 / $120.59	Facility		$74.16	$88.99	$120.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $79.26 / $171.94	Professional		$48.20	$79.26	$171.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.96 / $88.08	Facility		$45.70	$45.96	$88.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $45.70 / $369.16	Professional		$33.36	$45.70	$369.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.37 / $208.37 / $288.58	Facility		$208.37	$208.37	$288.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $48.61 / $51.00	Professional		$47.14	$48.61	$51.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $37.19 / $58.05	Professional		$27.62	$37.19	$58.05