Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.16 / $977.60 / $977.60	Facility		$172.16	$977.60	$977.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,308.48 / $1,955.20 / $1,955.20	Facility	50	$1,308.48	$1,955.20	$1,955.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $125.64 / $243.45	Professional		$97.82	$125.64	$243.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $304.00 / $355.80 / $363.15	Professional	50	$304.00	$355.80	$363.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.60 / $129.12 / $177.54	Facility		$107.60	$129.12	$177.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $210.53 / $305.08	Professional		$129.12	$210.53	$305.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $186.13 / $186.13	Facility		$186.13	$186.13	$186.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $179.90 / $357.36	Professional		$111.84	$179.90	$357.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.06 / $1,063.06 / $1,684.01	Facility		$1,063.06	$1,063.06	$1,684.01
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $502.94 / $1,565.11 / $2,208.00	Facility	50	$502.94	$1,565.11	$2,208.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $158.03 / $212.59	Professional		$105.41	$158.03	$212.59