Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.95 / $1,586.72 / $2,286.08	Facility		$266.95	$1,586.72	$2,286.08
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.01 / $50.82 / $105.47	Facility	52	$29.01	$50.82	$105.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $139.50 / $204.76	Professional		$62.41	$139.50	$204.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $76.23 / $104.82	Facility		$63.53	$76.23	$104.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $210.94 / $305.67	Professional		$129.43	$210.94	$305.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $110.27 / $110.27	Facility		$110.27	$110.27	$110.27
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $149.38 / $301.33	Professional		$69.91	$149.38	$301.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,641.08 / $2,546.76 / $4,247.79	Facility		$1,641.08	$2,546.76	$4,247.79
United Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $183.88 / $248.78	Professional		$105.07	$183.88	$248.78