Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,791.97 / $1,791.97	Facility		$1,400.00	$1,791.97	$1,791.97
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.50 / $15.50 / $34.00	Facility	53	$15.50	$15.50	$34.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $152.44 / $232.07	Professional		$77.48	$152.44	$232.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $96.88 / $140.68	Facility		$87.65	$96.88	$140.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $93.82 / $93.82	Professional		$93.82	$93.82	$93.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $227.73 / $484.46	Professional		$94.38	$227.73	$484.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,537.98 / $2,537.98 / $4,448.05	Facility		$2,537.98	$2,537.98	$4,448.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $212.61 / $212.61	Professional		$140.15	$212.61	$212.61
United Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $260.27 / $450.62	Professional		$148.43	$260.27	$450.62