Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.68 / $7,233.30 / $12,032.94	Facility		$772.68	$7,233.30	$12,032.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.17 / $68.17 / $195.64	Facility	53	$68.17	$68.17	$195.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.77 / $699.95 / $1,196.79	Professional		$339.77	$699.95	$1,196.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.23 / $424.21 / $518.48	Facility		$314.23	$424.21	$518.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,223.33 / $1,890.90 / $1,965.66	Professional		$1,223.33	$1,890.90	$1,965.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.98 / $557.98 / $557.98	Facility		$557.98	$557.98	$557.98
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $111.60 / $111.60 / $111.60	Facility	53	$111.60	$111.60	$111.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $55.80 / $55.80 / $55.80	Facility	AS	$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.92 / $995.31 / $2,425.16	Professional		$439.92	$995.31	$2,425.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,375.20 / $9,688.36 / $16,026.84	Facility		$4,375.20	$9,688.36	$16,026.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.21 / $473.77 / $779.02	Professional		$451.21	$473.77	$779.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.76 / $1,385.58 / $2,009.28	Professional		$791.76	$1,385.58	$2,009.28