Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.28 / $3,261.10 / $6,113.53	Facility		$789.28	$3,261.10	$6,113.53
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.20 / $65.20 / $120.62	Facility	52	$65.20	$65.20	$120.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $143.44 / $288.72	Professional		$1.44	$143.44	$288.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $169.09 / $206.66	Facility		$125.25	$169.09	$206.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $530.24 / $546.21	Professional		$150.30	$530.24	$546.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.42 / $225.42 / $225.42	Facility		$225.42	$225.42	$225.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $180.34 / $180.34 / $180.34	Facility	52	$180.34	$180.34	$180.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $320.18 / $795.92	Professional		$150.30	$320.18	$795.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.67 / $5,284.16 / $10,588.45	Facility		$261.67	$5,284.16	$10,588.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.85 / $4,834.85 / $4,834.85	Facility		$4,834.85	$4,834.85	$4,834.85
United Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $333.56 / $538.98	Professional		$190.61	$333.56	$538.98