Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $518.40 / $518.40	Facility		$294.00	$518.40	$518.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $518.40	Professional		$30.00	$50.00	$518.40
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $871.88 / $871.88 / $871.88	Professional	AA	$871.88	$871.88	$871.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $109.57 / $255.66	Facility		$27.39	$109.57	$255.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $200.87 / $474.30	Professional		$56.92	$200.87	$474.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $300.00 / $430.00	Professional		$210.00	$300.00	$430.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $788.31 / $788.31 / $788.31	Professional	AA	$788.31	$788.31	$788.31
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $399.02 / $541.13 / $904.76	Professional	QX	$399.02	$541.13	$904.76
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $385.97 / $385.97 / $644.98	Professional	QZ	$385.97	$385.97	$644.98
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $56.00 / $73.00	Professional		$45.00	$56.00	$73.00