Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.94 / $1,475.80 / $3,165.92	Facility		$324.94	$1,475.80	$3,165.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,696.39 / $3,263.68 / $13,415.68	Facility	50	$1,696.39	$3,263.68	$13,415.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $177.69 / $227.88	Professional		$98.04	$177.69	$227.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $330.22 / $335.74 / $341.82	Professional	50	$330.22	$335.74	$341.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $118.58 / $163.05	Facility		$98.82	$118.58	$163.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.84 / $274.11 / $397.22	Professional		$170.84	$274.11	$397.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $178.63 / $178.63	Facility		$178.63	$178.63	$178.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $205.58 / $492.65	Professional		$111.41	$205.58	$492.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.04 / $1,960.35 / $4,008.81	Facility		$677.04	$1,960.35	$4,008.81
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,411.21 / $3,589.94 / $7,576.08	Facility	50	$1,411.21	$3,589.94	$7,576.08
United Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $254.45 / $504.94	Professional		$143.65	$254.45	$504.94