Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $649.86 / $1,724.80	Facility		$299.86	$649.86	$1,724.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $974.78 / $1,801.04 / $3,449.60	Facility	50	$974.78	$1,801.04	$3,449.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $168.56 / $200.49	Professional		$70.66	$168.56	$200.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.53 / $265.27 / $269.99	Professional	50	$120.53	$265.27	$269.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $94.32 / $129.69	Facility		$78.59	$94.32	$129.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $233.71 / $338.67	Professional		$145.63	$233.71	$338.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $141.63 / $141.63	Facility		$141.63	$141.63	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $166.08 / $389.79	Professional		$87.29	$166.08	$389.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $1,614.74 / $2,618.44	Facility		$152.77	$1,614.74	$2,618.44
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $356.25 / $480.06 / $2,782.42	Facility	50	$356.25	$480.06	$2,782.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $127.95 / $127.95	Professional		$127.95	$127.95	$127.95
United Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $216.03 / $407.64	Professional		$121.64	$216.03	$407.64