Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $331.13 / $489.78	Facility		$66.07	$331.13	$489.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $562.34 / $741.31	Facility	50	$562.34	$562.34	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $138.04	Professional		$38.02	$72.44	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $97.72 / $107.15	Professional	50	$97.72	$97.72	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $67.61	Facility		$39.81	$48.98	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $151.36	Professional		$61.66	$97.72	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $67.61 / $67.61	Facility		$34.67	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $346.74	Professional		$38.90	$69.18	$346.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $288.40 / $346.74	Facility		$138.04	$288.40	$346.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $154.88	Professional		$58.88	$100.00	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $457.09	Facility		$371.54	$371.54	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $97.72	Professional		$33.11	$56.23	$97.72