Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,057.04 / $2,057.04 / $3,372.02	Facility		$2,057.04	$2,057.04	$3,372.02
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,396.00 / $1,396.00 / $2,792.00	Facility	50	$1,396.00	$1,396.00	$2,792.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $162.40 / $264.33	Professional		$80.45	$162.40	$264.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $142.69 / $142.69 / $537.54	Professional	50	$142.69	$142.69	$537.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $98.94 / $120.93	Facility		$73.29	$98.94	$120.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.69 / $409.14 / $420.45	Professional		$264.69	$409.14	$420.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $128.01 / $128.01	Facility		$128.01	$128.01	$128.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $235.34 / $376.26	Professional		$102.61	$235.34	$376.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.56 / $944.33 / $1,880.81	Facility		$496.56	$944.33	$1,880.81
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $171.53 / $171.53 / $171.53	Professional	50	$171.53	$171.53	$171.53
United Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $211.80 / $312.04	Professional		$141.16	$211.80	$312.04