Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.80 / $585.13 / $2,300.00	Facility		$184.80	$585.13	$2,300.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.40 / $92.40 / $292.57	Facility	52	$92.40	$92.40	$292.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $273.22 / $677.01	Professional		$181.21	$273.22	$677.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $92.40 / $136.61 / $338.51	Professional	52	$92.40	$136.61	$338.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.58 / $308.56 / $317.38	Facility		$211.58	$308.56	$317.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $204.91 / $204.91	Professional		$204.91	$204.91	$204.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.87 / $304.87 / $304.87	Facility		$304.87	$304.87	$304.87
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $243.90 / $243.90 / $243.90	Facility	52	$243.90	$243.90	$243.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.06 / $554.54 / $1,210.67	Professional		$239.06	$554.54	$1,210.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.78 / $4,793.78 / $4,793.78	Facility		$4,793.78	$4,793.78	$4,793.78
United Facility/Professional Professional Modifier Low / Median / High Price $461.64 / $724.82 / $1,217.98	Professional		$461.64	$724.82	$1,217.98