Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.98 / $902.40 / $902.40	Facility		$58.98	$902.40	$902.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $18.92 / $29.49 / $151.06	Facility	52	$18.92	$29.49	$151.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $81.50 / $263.14	Professional		$35.07	$81.50	$263.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $45.67 / $49.76	Facility		$40.08	$45.67	$49.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $44.23 / $214.47	Professional		$44.23	$44.23	$214.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $64.27 / $64.27	Facility		$64.27	$64.27	$64.27
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $174.63 / $447.90	Professional		$41.23	$174.63	$447.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.27 / $823.94 / $1,951.30	Facility		$327.27	$823.94	$1,951.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $54.62 / $499.03	Professional		$54.62	$54.62	$499.03
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.04 / $258.24 / $421.34	Professional		$164.04	$258.24	$421.34