Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.62 / $953.16 / $2,304.36	Facility		$564.62	$953.16	$2,304.36
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $81.91 / $124.53 / $285.80	Facility	52	$81.91	$124.53	$285.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $312.83 / $472.84	Professional		$158.13	$312.83	$472.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.66 / $186.79 / $242.51	Facility		$155.66	$186.79	$242.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.25 / $570.66 / $852.83	Professional		$357.25	$570.66	$852.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.89 / $278.89 / $278.89	Facility		$278.89	$278.89	$278.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $386.47 / $852.27	Professional		$173.80	$386.47	$852.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.39 / $2,053.35 / $5,417.17	Facility		$1,140.39	$2,053.35	$5,417.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.98 / $219.98 / $303.37	Professional		$219.98	$219.98	$303.37
United Facility/Professional Professional Modifier Low / Median / High Price $175.72 / $292.86 / $506.66	Professional		$175.72	$292.86	$506.66