Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $1,600.00 / $3,722.04	Facility		$219.86	$1,600.00	$3,722.04
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.94 / $99.94 / $151.91	Facility	52	$99.94	$99.94	$151.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.97 / $39.97 / $60.76	Facility	53	$39.97	$39.97	$60.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.35 / $235.30 / $256.35	Facility		$210.35	$235.30	$256.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.67 / $225.67 / $225.67	Facility		$225.67	$225.67	$225.67
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.91 / $4,753.02 / $7,716.99	Facility		$234.91	$4,753.02	$7,716.99