Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,567.38 / $4,338.72 / $4,418.00	Facility		$2,567.38	$4,338.72	$4,418.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.37 / $64.37 / $116.70	Facility	52	$64.37	$64.37	$116.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $233.39 / $302.01	Professional		$128.74	$233.39	$302.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.45 / $168.01 / $205.34	Facility		$124.45	$168.01	$205.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.20 / $522.58 / $536.60	Professional		$283.20	$522.58	$536.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.71 / $222.71 / $222.71	Facility		$222.71	$222.71	$222.71
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $178.17 / $178.17 / $178.17	Facility	52	$178.17	$178.17	$178.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.34 / $315.55 / $775.45	Professional		$149.34	$315.55	$775.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,289.35 / $1,772.77 / $9,731.79	Facility		$1,289.35	$1,772.77	$9,731.79
United Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $360.62 / $530.58	Professional		$183.97	$360.62	$530.58