Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $2,021.00 / $2,021.00	Facility		$194.92	$2,021.00	$2,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $172.86 / $352.03	Professional		$75.91	$172.86	$352.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.54 / $105.22 / $144.86	Facility		$87.54	$105.22	$144.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.53 / $93.53 / $93.53	Professional		$93.53	$93.53	$93.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $140.37 / $140.37	Facility		$140.37	$140.37	$140.37
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $112.30 / $112.30	Facility	52	$112.30	$112.30	$112.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $213.13 / $408.89	Professional		$87.42	$213.13	$408.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $910.81 / $1,524.89 / $3,104.44	Facility		$910.81	$1,524.89	$3,104.44
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,940.10 / $2,940.10 / $2,940.10	Facility	50	$2,940.10	$2,940.10	$2,940.10
United Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $261.77 / $370.32	Professional		$157.66	$261.77	$370.32