Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,089.30 / $5,495.41	Facility		$190.55	$2,089.30	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $6,456.54 / $10,715.19	Facility	50	$977.24	$6,456.54	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $467.74	Professional		$158.49	$281.84	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $144.54 / $389.05	Professional	50	$47.86	$144.54	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $234.42 / $309.03	Facility		$186.21	$234.42	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $645.65	Professional		$269.15	$446.68	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,659.59	Facility		$302.00	$302.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $1,862.09	Professional		$173.78	$323.59	$1,862.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,079.46 / $18,620.87	Facility		$3,019.95	$7,079.46	$18,620.87
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,884.03 / $7,585.78 / $15,848.93	Facility	50	$2,884.03	$7,585.78	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $9,332.54	Facility		$2,454.71	$2,454.71	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $602.56	Professional		$151.36	$309.03	$602.56