Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $606.62 / $1,480.12	Facility		$73.23	$606.62	$1,480.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $168.93 / $255.59	Professional		$64.12	$168.93	$255.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $631.13 / $631.13 / $660.00	Professional	50	$631.13	$631.13	$660.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $91.28 / $106.99	Facility		$64.84	$91.28	$106.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.73 / $452.23 / $467.91	Professional		$224.73	$452.23	$467.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $215.27 / $468.68	Professional		$77.81	$215.27	$468.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.65 / $1,143.07 / $1,748.39	Facility		$671.65	$1,143.07	$1,748.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $114.74 / $173.72	Professional		$107.56	$114.74	$173.72
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $171.77 / $171.77 / $171.77	Professional	50	$171.77	$171.77	$171.77
United Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $299.22 / $711.96	Professional		$160.74	$299.22	$711.96