Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,102.80 / $8,102.80 / $14,955.87	Facility		$8,102.80	$8,102.80	$14,955.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $239.88 / $890.69	Professional		$180.74	$239.88	$890.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.75 / $250.50 / $313.13	Facility		$208.75	$250.50	$313.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.75 / $313.13 / $484.01	Professional		$208.75	$313.13	$484.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.34 / $239.34 / $239.34	Facility		$239.34	$239.34	$239.34
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $146.80 / $146.80 / $146.80	Facility	62	$146.80	$146.80	$146.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.49 / $23.49 / $23.49	Facility	AS	$23.49	$23.49	$23.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.23 / $313.30 / $648.08	Professional		$200.23	$313.30	$648.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,982.37 / $7,530.66 / $12,837.73	Facility		$3,982.37	$7,530.66	$12,837.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Professional		$285.00	$285.00	$285.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $256.72 / $376.69	Professional		$166.81	$256.72	$376.69