Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $890.18 / $890.18	Facility		$28.24	$890.18	$890.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $102.25 / $137.85	Professional		$76.34	$102.25	$137.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.26 / $109.26 / $241.46	Professional	50	$109.26	$109.26	$241.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.94 / $87.17 / $94.97	Facility		$80.94	$87.17	$94.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $89.01 / $112.02	Professional		$84.42	$89.01	$112.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $129.79 / $129.79	Facility		$129.79	$129.79	$129.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $116.55 / $369.50	Professional		$83.83	$116.55	$369.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.80 / $728.80 / $873.13	Facility		$728.80	$728.80	$873.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $115.10 / $119.65	Professional		$115.10	$115.10	$119.65
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $200.33 / $200.33 / $273.52	Professional	50	$200.33	$200.33	$273.52
United Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $100.35 / $174.91	Professional		$68.28	$100.35	$174.91