Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $172.96 / $476.58	Facility		$54.52	$172.96	$476.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $137.24 / $353.44 / $575.28	Facility	50	$137.24	$353.44	$575.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.82 / $79.90 / $79.90	Facility	52	$22.82	$79.90	$79.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $49.32 / $85.05	Professional		$29.28	$49.32	$85.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.00 / $98.47 / $130.18	Professional	50	$70.00	$98.47	$130.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.15 / $21.99 / $34.99	Professional	52	$15.15	$21.99	$34.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $41.26 / $50.42	Facility		$30.56	$41.26	$50.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $101.89 / $103.44	Professional		$36.67	$101.89	$103.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $54.72 / $54.72	Facility		$54.72	$54.72	$54.72
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.78 / $43.78 / $43.78	Facility	52	$43.78	$43.78	$43.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $59.62 / $149.66	Professional		$36.67	$59.62	$149.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $166.63 / $2,323.52	Facility		$71.67	$166.63	$2,323.52
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $123.09 / $228.07 / $333.27	Facility	50	$123.09	$228.07	$333.27
United Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $61.41 / $90.00	Professional		$37.18	$61.41	$90.00