Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $19,498.45 / $29,512.09	Facility		$7,244.36	$19,498.45	$29,512.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $20,417.38 / $20,417.38 / $20,417.38	Facility	50	$20,417.38	$20,417.38	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $3,548.13	Professional		$1,122.02	$1,737.80	$3,548.13
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $331.13 / $457.09	Professional	AS	$169.82	$331.13	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,238.72	Facility		$1,288.25	$1,584.89	$2,238.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,951.21	Professional		$1,174.90	$1,949.84	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,187.76 / $2,187.76	Facility		$34.67	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	22	$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	54	$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $9,549.93	Professional		$1,230.27	$2,137.96	$9,549.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $35,481.34 / $60,255.96	Facility		$12,022.64	$35,481.34	$60,255.96
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $61,659.50 / $61,659.50 / $61,659.50	Facility	50	$61,659.50	$61,659.50	$61,659.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,951.21	Professional		$1,698.24	$1,905.46	$2,951.21
Highmark BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $398.11 / $398.11 / $398.11	Professional	AS	$398.11	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $35,481.34	Facility		$8,511.38	$8,511.38	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,398.83	Professional		$1,096.48	$1,659.59	$2,398.83