Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.46 / $1,974.00 / $5,988.00	Facility		$384.46	$1,974.00	$5,988.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $611.00 / $611.00 / $611.00	Facility	52	$611.00	$611.00	$611.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $93.22 / $246.09	Professional		$43.40	$93.22	$246.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.80 / $50.60 / $73.31	Facility		$45.80	$50.60	$73.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $49.01	Professional		$49.01	$49.01	$49.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $194.10 / $476.28	Professional		$47.75	$194.10	$476.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.57 / $1,187.49 / $1,423.92	Facility		$717.57	$1,187.49	$1,423.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $72.92 / $90.62	Professional		$72.92	$72.92	$90.62
United Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $262.74 / $430.78	Professional		$168.90	$262.74	$430.78