Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $178.97 / $1,700.00	Facility		$114.54	$178.97	$1,700.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $604.16 / $604.16 / $604.16	Facility	50	$604.16	$604.16	$604.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $169.59 / $220.91	Professional		$106.13	$169.59	$220.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.03 / $138.19 / $150.58	Facility		$126.03	$138.19	$150.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $133.85 / $133.85	Professional		$133.85	$133.85	$133.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.09 / $202.09 / $202.09	Facility		$202.09	$202.09	$202.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.84 / $224.20 / $572.17	Professional		$133.84	$224.20	$572.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.05 / $508.66 / $944.69	Facility		$459.05	$508.66	$944.69
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $404.61 / $404.61 / $404.61	Facility	50	$404.61	$404.61	$404.61
United Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $226.86 / $306.64	Professional		$139.22	$226.86	$306.64