Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.22 / $549.90 / $5,895.99	Facility		$494.22	$549.90	$5,895.99
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,592.89 / $4,592.89 / $4,592.89	Facility	50	$4,592.89	$4,592.89	$4,592.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.01 / $528.44 / $1,096.94	Professional		$295.01	$528.44	$1,096.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $939.21 / $939.21 / $939.21	Professional	50	$939.21	$939.21	$939.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.87 / $331.04 / $413.81	Facility		$275.87	$331.04	$413.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $305.70 / $347.23 / $708.79	Professional		$305.70	$347.23	$708.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.65 / $502.65 / $502.65	Facility		$502.65	$502.65	$502.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.64 / $740.28 / $1,403.20	Professional		$326.64	$740.28	$1,403.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,008.28 / $1,975.67 / $3,455.27	Facility		$1,008.28	$1,975.67	$3,455.27
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,016.56 / $2,016.56 / $6,910.54	Facility	50	$2,016.56	$2,016.56	$6,910.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.22 / $510.63 / $699.50	Professional		$467.22	$510.63	$699.50
United Facility/Professional Professional Modifier Low / Median / High Price $260.99 / $957.19 / $1,685.34	Professional		$260.99	$957.19	$1,685.34