Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $596.90 / $1,022.72	Facility		$11.28	$596.90	$1,022.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $22.56 / $1,547.24 / $2,009.72	Facility	50	$22.56	$1,547.24	$2,009.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $79.19 / $122.56	Professional		$54.73	$79.19	$122.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.28 / $183.30 / $257.76	Professional	50	$82.28	$183.30	$257.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $65.17 / $89.61	Facility		$54.31	$65.17	$89.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $122.14 / $177.01	Professional		$74.84	$122.14	$177.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $96.49 / $96.49	Facility		$96.49	$96.49	$96.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $91.61 / $213.35	Professional		$58.63	$91.61	$213.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $356.20 / $1,396.69	Facility		$39.26	$356.20	$1,396.69
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $490.39 / $1,608.74 / $1,861.14	Facility	50	$490.39	$1,608.74	$1,861.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $127.93 / $188.27	Professional		$88.06	$127.93	$188.27
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $132.08 / $191.99 / $193.96	Professional	50	$132.08	$191.99	$193.96
United Facility/Professional Facility Modifier Low / Median / High Price $827.64 / $827.64 / $827.64	Facility		$827.64	$827.64	$827.64
United Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $103.70 / $128.36	Professional		$61.35	$103.70	$128.36