Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.16 / $793.36 / $907.10	Facility		$671.16	$793.36	$907.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,199.52 / $1,814.20 / $1,955.20	Facility	50	$1,199.52	$1,814.20	$1,955.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $78.98 / $119.98	Professional		$53.12	$78.98	$119.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.51 / $176.03 / $241.23	Professional	50	$74.51	$176.03	$241.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $62.26 / $85.60	Facility		$51.88	$62.26	$85.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $113.34 / $164.24	Professional		$68.39	$113.34	$164.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $90.34 / $90.34	Facility		$90.34	$90.34	$90.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $103.59 / $247.89	Professional		$58.41	$103.59	$247.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.19 / $680.00 / $1,063.06	Facility		$245.19	$680.00	$1,063.06
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $589.75 / $1,546.18 / $1,861.14	Facility	50	$589.75	$1,546.18	$1,861.14
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 $57.46 / $112.20 / $169.92	Professional		$57.46	$112.20	$169.92