Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.16 / $1,176.79 / $1,400.00	Facility		$246.16	$1,176.79	$1,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $123.08 / $123.08 / $588.40	Facility	52	$123.08	$123.08	$588.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.06 / $390.46 / $1,411.30	Professional		$226.06	$390.46	$1,411.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $123.08 / $182.26 / $705.65	Professional	52	$123.08	$182.26	$705.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $282.31 / $307.57	Facility		$251.19	$282.31	$307.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $273.39 / $273.39	Professional		$273.39	$273.39	$273.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.78 / $402.78 / $402.78	Facility		$402.78	$402.78	$402.78
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $322.22 / $322.22 / $322.22	Facility	52	$322.22	$322.22	$322.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.97 / $1,092.94 / $2,448.17	Professional		$318.97	$1,092.94	$2,448.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,118.20 / $10,118.20 / $10,118.20	Facility		$10,118.20	$10,118.20	$10,118.20
United Facility/Professional Professional Modifier Low / Median / High Price $942.14 / $1,586.91 / $2,295.17	Professional		$942.14	$1,586.91	$2,295.17