Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.90 / $784.00 / $2,284.16	Facility		$155.90	$784.00	$2,284.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,863.40 / $3,863.40 / $3,863.40	Facility	50	$3,863.40	$3,863.40	$3,863.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $107.38 / $187.82	Professional		$50.12	$107.38	$187.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $174.53 / $174.53 / $174.53	Professional	50	$174.53	$174.53	$174.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $69.44 / $95.60	Facility		$57.75	$69.44	$95.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $61.73 / $61.73	Professional		$59.95	$61.73	$61.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $92.61 / $92.61	Facility		$92.61	$92.61	$92.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $140.97 / $268.14	Professional		$60.95	$140.97	$268.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $811.60 / $811.60 / $1,714.09	Facility		$811.60	$811.60	$1,714.09
United Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $147.52 / $208.54	Professional		$84.30	$147.52	$208.54