Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.09 / $6,434.30 / $10,631.04	Facility		$755.09	$6,434.30	$10,631.04
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $343.23 / $343.23 / $343.23	Facility	52	$343.23	$343.23	$343.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.45 / $827.19 / $1,544.51	Professional		$686.45	$827.19	$1,544.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $773.79 / $858.05 / $934.85	Facility		$773.79	$858.05	$934.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $830.98 / $830.98 / $830.98	Professional		$830.98	$830.98	$830.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $828.22 / $828.22 / $828.22	Facility		$828.22	$828.22	$828.22
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $648.11 / $648.11 / $648.11	Facility	52	$648.11	$648.11	$648.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.96 / $1,128.17 / $4,691.53	Professional		$708.96	$1,128.17	$4,691.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,715.50 / $22,650.96 / $33,917.43	Facility		$9,715.50	$22,650.96	$33,917.43
United Facility/Professional Professional Modifier Low / Median / High Price $592.05 / $915.72 / $1,408.35	Professional		$592.05	$915.72	$1,408.35