Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.59 / $565.50 / $1,400.00	Facility		$503.59	$565.50	$1,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,805.90 / $7,432.16 / $20,932.59	Facility	50	$2,805.90	$7,432.16	$20,932.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.94 / $560.48 / $638.76	Professional		$472.94	$560.48	$638.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $748.58 / $1,683.06 / $1,736.64	Professional	50	$748.58	$1,683.06	$1,736.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.36 / $618.36 / $673.72	Facility		$568.36	$618.36	$673.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $598.86 / $598.86 / $598.86	Professional		$598.86	$598.86	$598.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $911.35 / $911.35 / $911.35	Facility		$911.35	$911.35	$911.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.47 / $698.66 / $1,520.35	Professional		$493.47	$698.66	$1,520.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,241.08 / $4,241.08 / $4,241.08	Facility		$4,241.08	$4,241.08	$4,241.08
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,868.63 / $7,298.51 / $17,549.90	Facility	50	$2,868.63	$7,298.51	$17,549.90
United Facility/Professional Professional Modifier Low / Median / High Price $466.06 / $694.82 / $1,004.96	Professional		$466.06	$694.82	$1,004.96