Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $1,412.54	Facility		$125.89	$158.49	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $245.47	Professional		$120.23	$158.49	$245.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $338.84	Professional	50	$302.00	$302.00	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $154.88	Facility		$131.83	$131.83	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $1,659.59	Facility		$213.80	$213.80	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $1,000.00	Professional		$123.03	$218.78	$1,000.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $891.25	Facility		$457.09	$457.09	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $323.59	Professional		$104.71	$186.21	$323.59