Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,503.86 / $21,777.70 / $50,760.00	Facility		$6,503.86	$21,777.70	$50,760.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $298.24 / $298.24 / $298.24	Facility	52	$298.24	$298.24	$298.24
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $119.29 / $119.29 / $119.29	Facility	53	$119.29	$119.29	$119.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.83 / $1,206.02 / $1,846.16	Professional		$563.83	$1,206.02	$1,846.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $566.11 / $764.25 / $934.08	Facility		$566.11	$764.25	$934.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $849.17 / $1,256.13 / $1,312.57	Professional		$849.17	$1,256.13	$1,312.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.62 / $659.62 / $659.62	Facility		$659.62	$659.62	$659.62
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $512.70 / $512.70 / $512.70	Facility	52	$512.70	$512.70	$512.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $128.18 / $128.18 / $128.18	Facility	53	$128.18	$128.18	$128.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.41 / $872.31 / $2,683.20	Professional		$549.41	$872.31	$2,683.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,615.66 / $29,070.65 / $61,441.60	Facility		$14,615.66	$29,070.65	$61,441.60
United Facility/Professional Professional Modifier Low / Median / High Price $452.89 / $797.97 / $1,544.10	Professional		$452.89	$797.97	$1,544.10