Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.74 / $407.02 / $3,696.55	Facility		$147.74	$407.02	$3,696.55
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $12.27 / $12.27 / $27.94	Facility	52	$12.27	$12.27	$27.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $53.81 / $86.56	Professional		$22.77	$53.81	$86.56
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.39 / $14.33 / $30.10	Professional	52	$11.39	$14.33	$30.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $31.90 / $38.99	Facility		$23.63	$31.90	$38.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $126.54 / $131.35	Professional		$28.36	$126.54	$131.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $42.39 / $42.39	Facility		$42.39	$42.39	$42.39
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $33.90 / $33.90 / $33.90	Facility	52	$33.90	$33.90	$33.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $70.95 / $185.94	Professional		$28.35	$70.95	$185.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.53 / $223.37 / $579.14	Facility		$98.53	$223.37	$579.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $30.37 / $30.37	Professional		$30.37	$30.37	$30.37
United Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $87.33 / $156.94	Professional		$45.79	$87.33	$156.94