Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.54 / $2,847.26 / $2,847.26	Facility		$1,104.54	$2,847.26	$2,847.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.82 / $304.92 / $1,056.02	Professional		$192.82	$304.92	$1,056.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.15 / $237.30 / $258.55	Facility		$214.15	$237.30	$258.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.82 / $229.82 / $784.10	Professional		$229.82	$229.82	$784.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.38 / $343.38 / $343.38	Facility		$343.38	$343.38	$343.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $617.01 / $1,803.28	Professional		$214.10	$617.01	$1,803.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,718.16 / $3,718.16 / $3,718.16	Facility		$3,718.16	$3,718.16	$3,718.16
United Facility/Professional Professional Modifier Low / Median / High Price $679.79 / $1,104.54 / $1,935.69	Professional		$679.79	$1,104.54	$1,935.69