Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.70 / $6,110.94 / $11,247.10	Facility		$669.70	$6,110.94	$11,247.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $108.19 / $108.19 / $593.79	Facility	52	$108.19	$108.19	$593.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $251.91 / $1,253.49	Professional		$213.69	$251.91	$1,253.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.88 / $256.67 / $279.64	Facility		$231.88	$256.67	$279.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.57 / $248.57 / $248.57	Professional		$248.57	$248.57	$248.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.81 / $371.81 / $371.81	Facility		$371.81	$371.81	$371.81
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $297.45 / $297.45 / $297.45	Facility	52	$297.45	$297.45	$297.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.57 / $1,010.32 / $2,220.64	Professional		$248.57	$1,010.32	$2,220.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,648.22 / $9,900.04 / $14,525.97	Facility		$5,648.22	$9,900.04	$14,525.97
United Facility/Professional Professional Modifier Low / Median / High Price $796.27 / $1,041.50 / $1,748.83	Professional		$796.27	$1,041.50	$1,748.83