Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,248.07 / $8,709.64	Facility		$416.87	$5,248.07	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,623.41 / $5,623.41 / $19,498.45	Facility	50	$5,623.41	$5,623.41	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $724.44 / $2,691.53	Professional		$309.03	$724.44	$2,691.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $758.58 / $2,454.71	Professional	50	$338.84	$758.58	$2,454.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $660.69	Facility		$407.38	$501.19	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $4,168.69	Professional		$1,698.24	$2,818.38	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $616.60 / $616.60	Facility		$34.67	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,819.70 / $9,120.11	Professional		$346.74	$1,819.70	$9,120.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,025.60 / $6,918.31	Facility		$4,570.88	$6,025.60	$6,918.31
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $4,677.35 / $14,454.40	Facility	50	$4,677.35	$4,677.35	$14,454.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $977.24	Professional		$630.96	$630.96	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $15,488.17	Facility		$4,466.84	$4,466.84	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,148.15 / $3,235.94	Professional		$354.81	$1,148.15	$3,235.94