Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.37 / $53.37 / $53.37	Facility		$53.37	$53.37	$53.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $53.37 / $63.51	Professional		$49.75	$53.37	$63.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.30 / $123.96 / $158.88	Facility		$103.30	$123.96	$158.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $115.08 / $239.51	Professional		$67.15	$115.08	$239.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $116.62	Facility		$60.32	$61.21	$116.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $61.21 / $488.80	Professional		$44.68	$61.21	$488.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $69.75 / $72.31	Professional		$65.65	$69.75	$72.31
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $108.68 / $108.68	Facility		$108.68	$108.68	$108.68
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $53.12 / $85.89	Professional		$45.04	$53.12	$85.89