Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.16 / $647.01 / $911.52	Facility		$257.16	$647.01	$911.52
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $128.58 / $194.11 / $455.76	Facility	52	$128.58	$194.11	$455.76
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.43 / $77.64 / $182.30	Facility	53	$51.43	$77.64	$182.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.06 / $540.61 / $791.48	Professional		$252.06	$540.61	$791.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.05 / $300.64 / $327.56	Facility		$271.05	$300.64	$327.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.17 / $291.17 / $647.08	Professional		$291.17	$291.17	$647.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.63 / $434.63 / $434.63	Facility		$434.63	$434.63	$434.63
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.54 / $630.79 / $1,408.15	Professional		$273.54	$630.79	$1,408.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,384.24 / $1,384.24 / $1,384.24	Facility		$1,384.24	$1,384.24	$1,384.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.36 / $312.36 / $341.40	Professional		$312.36	$312.36	$341.40
United Facility/Professional Professional Modifier Low / Median / High Price $504.08 / $715.46 / $1,137.77	Professional		$504.08	$715.46	$1,137.77