Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.66 / $2,083.98 / $3,798.54	Facility		$658.66	$2,083.98	$3,798.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.13 / $29.90 / $71.48	Facility	53	$18.13	$29.90	$71.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $210.24 / $298.69	Professional		$91.34	$210.24	$298.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.44 / $112.13 / $154.18	Facility		$93.44	$112.13	$154.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.37 / $357.39 / $517.88	Professional		$223.37	$357.39	$517.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $168.56 / $168.56	Facility		$168.56	$168.56	$168.56
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.71 / $33.71 / $33.71	Facility	53	$33.71	$33.71	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $248.71 / $470.01	Professional		$105.63	$248.71	$470.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.16 / $2,144.48 / $3,177.00	Facility		$1,332.16	$2,144.48	$3,177.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.21 / $142.21 / $142.21	Professional		$142.21	$142.21	$142.21
United Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $306.58 / $436.87	Professional		$189.83	$306.58	$436.87