Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $153.22 / $153.22	Facility		$153.22	$153.22	$153.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $19.09 / $20.61	Professional		$18.02	$19.09	$20.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $50.52 / $65.48	Facility		$25.07	$50.52	$65.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $27.00 / $46.28	Professional		$24.32	$27.00	$46.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $45.20	Facility		$24.80	$24.80	$45.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.80 / $183.93	Professional		$18.10	$24.80	$183.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $39.17 / $39.17	Facility		$39.17	$39.17	$39.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $25.26 / $25.26	Professional		$25.26	$25.26	$25.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $19.29 / $33.47	Professional		$16.94	$19.29	$33.47