Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,818.38 / $2,818.38	Facility		$199.53	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $691.83 / $1,621.81	Professional		$194.98	$691.83	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $257.04	Facility		$213.80	$213.80	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $346.74 / $346.74	Facility		$34.67	$346.74	$346.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	52	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	53	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $724.44 / $3,162.28	Professional		$213.80	$724.44	$3,162.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,370.32	Facility		$1,230.27	$1,230.27	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $602.56 / $1,698.24	Professional		$186.21	$602.56	$1,698.24