Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.15 / $701.24 / $1,452.30	Facility		$109.15	$701.24	$1,452.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $543.42 / $543.42 / $543.42	Facility	50	$543.42	$543.42	$543.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $100.93 / $151.50	Professional		$51.43	$100.93	$151.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $150.77 / $150.77 / $150.77	Professional	50	$150.77	$150.77	$150.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.32 / $60.38 / $83.03	Facility		$50.32	$60.38	$83.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $160.82 / $233.04	Professional		$98.83	$160.82	$233.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $87.90	Facility		$87.90	$87.90	$87.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $115.36 / $244.76	Professional		$56.33	$115.36	$244.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.85 / $698.28 / $1,186.59	Facility		$429.85	$698.28	$1,186.59
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,396.55 / $1,396.55 / $1,396.55	Facility	50	$1,396.55	$1,396.55	$1,396.55
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $136.55 / $179.95	Professional		$80.59	$136.55	$179.95