Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.30 / $606.61 / $1,600.00	Facility		$218.30	$606.61	$1,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.23 / $150.10 / $422.69	Facility	52	$99.23	$150.10	$422.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.95 / $301.87 / $734.27	Professional		$194.95	$301.87	$734.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.63 / $234.54 / $328.35	Facility		$187.63	$234.54	$328.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $600.13 / $1,225.02 / $1,281.26	Professional		$600.13	$1,225.02	$1,281.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $336.48 / $336.48	Facility		$336.48	$336.48	$336.48
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $482.47 / $1,330.58	Professional		$220.77	$482.47	$1,330.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.84 / $592.84 / $4,369.97	Facility		$592.84	$592.84	$4,369.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.31 / $364.55 / $378.20	Professional		$240.31	$364.55	$378.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.06 / $467.19 / $812.59	Professional		$266.06	$467.19	$812.59