Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $607.24 / $875.14	Facility		$137.94	$607.24	$875.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $67.40 / $121.15	Professional		$42.03	$67.40	$121.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.86 / $29.89 / $35.57	Professional	52	$18.86	$29.89	$35.57
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $7.54 / $11.96 / $14.23	Professional	53	$7.54	$11.96	$14.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.18 / $55.43 / $60.40	Facility		$49.18	$55.43	$60.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $53.69 / $53.69	Professional		$53.69	$53.69	$53.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $78.86 / $78.86	Facility		$78.86	$78.86	$78.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $88.20 / $215.16	Professional		$53.68	$88.20	$215.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.81 / $334.81 / $451.14	Facility		$334.81	$334.81	$451.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $64.13 / $64.13	Professional		$64.13	$64.13	$64.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $86.70 / $128.68	Professional		$53.63	$86.70	$128.68