Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $86.96 / $1,200.00	Facility		$49.68	$86.96	$1,200.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,853.84 / $4,853.84 / $4,853.84	Facility	50	$4,853.84	$4,853.84	$4,853.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $87.17 / $162.19	Professional		$49.68	$87.17	$162.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $177.72 / $177.72 / $177.72	Professional	50	$177.72	$177.72	$177.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.45 / $70.81 / $97.49	Facility		$58.45	$70.81	$97.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $62.94 / $62.94	Professional		$54.17	$62.94	$62.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $93.73 / $93.73	Facility		$93.73	$93.73	$93.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $123.58 / $269.37	Professional		$60.59	$123.58	$269.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,588.86 / $2,588.86 / $3,425.77	Facility		$2,588.86	$2,588.86	$3,425.77
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,705.08 / $3,705.08 / $6,013.23	Facility	50	$3,705.08	$3,705.08	$6,013.23
United Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $141.02 / $247.12	Professional		$68.95	$141.02	$247.12