Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.57 / $2,561.50 / $5,502.76	Facility		$308.57	$2,561.50	$5,502.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $986.06 / $6,496.03 / $10,636.81	Facility	50	$986.06	$6,496.03	$10,636.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $211.17 / $414.80	Professional		$95.84	$211.17	$414.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.52 / $143.75 / $287.51	Professional	50	$47.52	$143.75	$287.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.26 / $280.20	Facility		$169.82	$229.26	$280.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $621.30 / $634.41	Professional		$203.78	$621.30	$634.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.20 / $303.20 / $303.20	Facility		$303.20	$303.20	$303.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.79 / $375.16 / $1,124.05	Professional		$203.79	$375.16	$1,124.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,008.49 / $10,465.70 / $18,473.59	Facility		$3,008.49	$10,465.70	$18,473.59
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,677.93 / $7,495.90 / $19,541.93	Facility	50	$1,677.93	$7,495.90	$19,541.93
United Facility/Professional Professional Modifier Low / Median / High Price $217.04 / $417.76 / $777.55	Professional		$217.04	$417.76	$777.55