Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $61.31 / $1,600.00	Facility		$40.47	$61.31	$1,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.23 / $20.23 / $30.66	Facility	52	$20.23	$20.23	$30.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.10 / $8.10 / $12.26	Facility	53	$8.10	$8.10	$12.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $47.48 / $51.73	Facility		$42.57	$47.48	$51.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Facility		$45.46	$45.46	$45.46
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $947.25 / $947.25 / $1,139.88	Facility		$947.25	$947.25	$1,139.88
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00