Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,611.04 / $6,611.04 / $15,491.35	Facility		$6,611.04	$6,611.04	$15,491.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $30.21 / $31.41	Professional		$29.91	$30.21	$31.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $44.87	Facility		$29.91	$29.91	$44.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $69.34	Professional		$29.91	$29.91	$69.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $64.00 / $64.00	Facility		$28.22	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Professional		$29.91	$29.91	$29.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,292.03 / $5,292.03 / $5,292.03	Facility		$5,292.03	$5,292.03	$5,292.03
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $31.90	Professional		$29.91	$29.91	$31.90