Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $194.98 / $2,754.23	Facility		$104.71	$194.98	$2,754.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility	50	$4,897.79	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $239.88	Professional		$89.13	$154.88	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $117.49	Facility		$100.00	$100.00	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $158.49 / $158.49	Facility		$34.67	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $2,884.03	Professional		$87.10	$173.78	$2,884.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $239.88	Professional		$218.78	$218.78	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,754.23	Facility		$1,230.27	$1,230.27	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $331.13	Professional		$79.43	$138.04	$331.13