Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.02 / $889.24 / $5,426.62	Facility		$783.02	$889.24	$5,426.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.88 / $54.42 / $193.62	Facility	52	$34.88	$54.42	$193.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.95 / $21.77 / $77.45	Facility	53	$13.95	$21.77	$77.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $145.04 / $309.58	Professional		$67.84	$145.04	$309.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.03 / $81.64 / $106.05	Facility		$68.03	$81.64	$106.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.30 / $389.28 / $583.66	Professional		$243.30	$389.28	$583.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $121.96 / $121.96	Facility		$121.96	$121.96	$121.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $205.72 / $520.61	Professional		$78.02	$205.72	$520.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $963.44 / $1,404.33 / $3,472.46	Facility		$963.44	$1,404.33	$3,472.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $93.28 / $136.00	Professional		$83.23	$93.28	$136.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $230.44 / $362.00	Professional		$156.94	$230.44	$362.00