Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $67.95 / $67.95	Facility		$46.42	$67.95	$67.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.95 / $70.64	Professional		$67.27	$67.95	$70.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $100.91	Facility		$67.27	$67.27	$100.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $155.97	Professional		$67.27	$67.27	$155.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $176.32 / $176.32	Facility		$63.47	$176.32	$176.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,030.19 / $11,030.19 / $11,030.19	Facility		$11,030.19	$11,030.19	$11,030.19
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $221.12	Professional		$67.27	$67.27	$221.12