Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,905.46 / $1,905.46	Facility		$204.17	$1,905.46	$1,905.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	50	$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $602.56	Professional		$199.53	$263.03	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $645.65 / $1,174.90	Professional	50	$630.96	$645.65	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $239.88 / $331.13	Facility		$213.80	$239.88	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $524.81	Professional		$218.78	$251.19	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $338.84 / $338.84	Facility		$34.67	$338.84	$338.84
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	54	$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $2,089.30	Professional		$194.98	$309.03	$2,089.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,513.56	Facility		$478.63	$478.63	$1,513.56
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	50	$3,019.95	$3,019.95	$3,019.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $467.74	Professional		$234.42	$354.81	$467.74
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $501.19 / $707.95	Professional	50	$457.09	$501.19	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,548.82	Facility		$691.83	$691.83	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $501.19	Professional		$177.83	$309.03	$501.19