Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Facility		$12.86	$12.86	$12.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $13.40 / $15.75	Professional		$12.86	$13.40	$15.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $31.48 / $40.81	Facility		$14.01	$31.48	$40.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $27.98 / $54.06	Professional		$15.16	$27.98	$54.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $27.32 / $27.32	Facility		$27.32	$27.32	$27.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $112.40	Professional		$9.51	$9.51	$112.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.13 / $46.13 / $46.13	Facility		$46.13	$46.13	$46.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $12.62 / $23.32	Professional		$11.07	$12.62	$23.32