Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $532.30 / $1,400.00	Facility		$113.01	$532.30	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.01 / $222.00 / $731.16	Professional		$113.01	$222.00	$731.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $132.32 / $132.32 / $132.32	Professional	50	$132.32	$132.32	$132.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.59 / $187.53 / $192.89	Facility		$128.59	$187.53	$192.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $124.54 / $124.54	Professional		$124.54	$124.54	$124.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $181.74 / $181.74	Facility		$181.74	$181.74	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $492.65 / $1,292.79	Professional		$124.54	$492.65	$1,292.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $872.71 / $872.71 / $3,044.04	Facility		$872.71	$872.71	$3,044.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $164.43 / $164.43	Professional		$164.43	$164.43	$164.43
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $244.41 / $244.41 / $244.41	Professional	50	$244.41	$244.41	$244.41
United Facility/Professional Professional Modifier Low / Median / High Price $229.32 / $703.18 / $1,254.56	Professional		$229.32	$703.18	$1,254.56