Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.68 / $352.50 / $509.48	Facility		$208.68	$352.50	$509.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $90.80 / $163.66	Professional		$46.35	$90.80	$163.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $61.32 / $74.94	Facility		$45.42	$61.32	$74.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $168.65 / $172.43	Professional		$54.50	$168.65	$172.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $81.05 / $81.05	Facility		$81.05	$81.05	$81.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $101.84 / $250.84	Professional		$54.50	$101.84	$250.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.02 / $228.00 / $560.41	Facility		$122.02	$228.00	$560.41
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $149.85 / $149.85 / $149.85	Facility	50	$149.85	$149.85	$149.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $61.60 / $61.60	Professional		$61.60	$61.60	$61.60
United Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $116.38 / $197.64	Professional		$61.58	$116.38	$197.64