Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.37 / $1,885.64 / $1,885.64	Facility		$543.37	$1,885.64	$1,885.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,440.80 / $6,440.80 / $6,440.80	Facility	50	$6,440.80	$6,440.80	$6,440.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $150.96 / $572.37	Professional		$93.00	$150.96	$572.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $321.06 / $321.06 / $321.06	Professional	50	$321.06	$321.06	$321.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.25 / $115.04 / $125.33	Facility		$104.25	$115.04	$125.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $111.41 / $111.41	Professional		$111.41	$111.41	$111.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $167.16 / $167.16	Facility		$167.16	$167.16	$167.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $458.38 / $1,216.64	Professional		$111.41	$458.38	$1,216.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.60 / $2,604.48 / $9,238.98	Facility		$1,332.60	$2,604.48	$9,238.98
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,208.97 / $5,208.97 / $5,208.97	Facility	50	$5,208.97	$5,208.97	$5,208.97
United Facility/Professional Professional Modifier Low / Median / High Price $405.83 / $583.38 / $896.79	Professional		$405.83	$583.38	$896.79