Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $53.28 / $53.28	Facility		$34.20	$53.28	$53.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $53.28 / $55.39	Professional		$52.75	$53.28	$55.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $79.13	Facility		$52.75	$52.75	$79.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $122.31	Professional		$52.75	$52.75	$122.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $85.00 / $85.00	Facility		$49.77	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,741.46 / $8,741.46 / $8,741.46	Facility		$8,741.46	$8,741.46	$8,741.46
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $55.39	Professional		$52.75	$52.75	$55.39