Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.74 / $773.62 / $773.62	Facility		$177.74	$773.62	$773.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,547.24 / $1,547.24 / $1,547.24	Facility	50	$1,547.24	$1,547.24	$1,547.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $146.68 / $228.64	Professional		$116.09	$146.68	$228.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $430.52 / $430.52 / $430.52	Professional	50	$430.52	$430.52	$430.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.09 / $133.31 / $183.30	Facility		$111.09	$133.31	$183.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $202.29 / $293.14	Professional		$126.43	$202.29	$293.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $198.85 / $198.85	Facility		$198.85	$198.85	$198.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $194.41 / $360.80	Professional		$123.58	$194.41	$360.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.01 / $307.01 / $653.37	Facility		$307.01	$307.01	$653.37
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $688.98 / $855.26 / $1,258.09	Facility	50	$688.98	$855.26	$1,258.09
United Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $176.47 / $267.86	Professional		$103.38	$176.47	$267.86