Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.06 / $186.12 / $286.70	Facility		$93.06	$186.12	$286.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $26.80 / $31.34	Professional		$13.48	$26.80	$31.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.89 / $41.73 / $47.01	Professional	50	$19.89	$41.73	$47.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.57 / $7.01 / $16.09	Professional	52	$6.57	$7.01	$16.09
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.63 / $2.80 / $3.56	Professional	53	$2.63	$2.80	$3.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $17.89 / $21.88	Facility		$13.89	$17.89	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $30.75 / $32.67	Professional		$15.91	$30.75	$32.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Facility		$17.89	$17.89	$17.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $19.89 / $73.26	Professional		$15.26	$19.89	$73.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.33 / $156.76 / $222.00	Facility		$55.33	$156.76	$222.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $14.32 / $24.41	Professional		$10.01	$14.32	$24.41