Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.41 / $1,274.88 / $1,994.23	Facility		$941.41	$1,274.88	$1,994.23
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.47 / $15.29 / $31.08	Facility	53	$9.47	$15.29	$31.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $96.65 / $142.43	Professional		$47.36	$96.65	$142.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.79 / $57.35 / $78.84	Facility		$47.79	$57.35	$78.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.12 / $155.41 / $225.22	Professional		$97.12	$155.41	$225.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $86.31 / $86.31	Facility		$86.31	$86.31	$86.31
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.26 / $17.26 / $17.26	Facility	53	$17.26	$17.26	$17.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $112.20 / $235.41	Professional		$55.07	$112.20	$235.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.82 / $860.46 / $1,142.08	Facility		$197.82	$860.46	$1,142.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $71.36 / $78.00	Professional		$67.95	$71.36	$78.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $155.41 / $279.07	Professional		$78.38	$155.41	$279.07