Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,295.64 / $4,291.10 / $4,291.10	Facility		$3,295.64	$4,291.10	$4,291.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $57.91 / $87.91 / $327.48	Facility	52	$57.91	$87.91	$327.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $195.88 / $601.05	Professional		$114.68	$195.88	$601.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.06 / $136.16 / $148.35	Facility		$123.06	$136.16	$148.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $131.87 / $464.96	Professional		$131.87	$131.87	$464.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $197.32 / $197.32	Facility		$197.32	$197.32	$197.32
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.09 / $344.82 / $1,158.02	Professional		$124.09	$344.82	$1,158.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,542.91 / $5,542.91 / $6,726.37	Facility		$5,542.91	$5,542.91	$6,726.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $128.68 / $128.68	Professional		$128.68	$128.68	$128.68
United Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $310.97 / $654.96	Professional		$140.54	$310.97	$654.96