Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $93.98 / $1,400.00	Facility		$45.60	$93.98	$1,400.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.11 / $9.11 / $9.11	Facility	53	$9.11	$9.11	$9.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $53.94 / $96.13	Professional		$42.60	$53.94	$96.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.65 / $56.23 / $68.72	Facility		$41.65	$56.23	$68.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $95.15 / $96.56	Professional		$62.48	$95.15	$96.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $50.58 / $50.58	Facility		$50.58	$50.58	$50.58
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.69 / $9.69 / $9.69	Facility	53	$9.69	$9.69	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $67.13 / $325.02	Professional		$42.08	$67.13	$325.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,236.47 / $1,523.72 / $1,565.41	Facility		$1,236.47	$1,523.72	$1,565.41
United Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $64.43 / $89.73	Professional		$36.82	$64.43	$89.73