Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $412.51 / $4,422.70	Facility		$49.03	$412.51	$4,422.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $135.78 / $227.03	Professional		$64.45	$135.78	$227.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $241.97 / $241.97 / $241.97	Professional	50	$241.97	$241.97	$241.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.21 / $48.77 / $79.06	Professional	52	$30.21	$48.77	$79.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $77.20 / $93.47	Facility		$63.84	$77.20	$93.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $194.79 / $229.16	Professional		$74.77	$194.79	$229.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $114.34	Facility		$114.34	$114.34	$114.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $107.87 / $267.76	Professional		$63.25	$107.87	$267.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.00 / $356.92 / $730.00	Facility		$199.00	$356.92	$730.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $156.00 / $237.24	Professional		$156.00	$156.00	$237.24
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $76.47 / $76.47 / $76.47	Professional	52	$76.47	$76.47	$76.47
United Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $119.85 / $176.92	Professional		$82.22	$119.85	$176.92