Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.68 / $1,718.32 / $3,453.56	Facility		$751.68	$1,718.32	$3,453.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,323.83 / $4,718.80 / $10,663.36	Facility	50	$1,323.83	$4,718.80	$10,663.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $128.21 / $259.98	Professional		$54.79	$128.21	$259.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.42 / $190.68 / $216.78	Professional	50	$81.42	$190.68	$216.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.08 / $67.30 / $92.53	Facility		$56.08	$67.30	$92.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $323.50 / $468.79	Professional		$202.19	$323.50	$468.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $100.61	Facility		$100.61	$100.61	$100.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $193.94 / $353.82	Professional		$62.72	$193.94	$353.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.84 / $849.79 / $2,432.67	Facility		$603.84	$849.79	$2,432.67
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,105.13 / $1,790.01 / $4,865.37	Facility	50	$1,105.13	$1,790.01	$4,865.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $81.16 / $81.16	Professional		$81.16	$81.16	$81.16
United Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $221.42 / $337.81	Professional		$126.53	$221.42	$337.81