Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.92 / $1,473.92 / $1,473.92	Facility		$1,473.92	$1,473.92	$1,473.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.72 / $37.72 / $78.98	Facility	52	$37.72	$37.72	$78.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $152.41 / $224.53	Professional		$76.53	$152.41	$224.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.97 / $86.10 / $109.46	Facility		$72.97	$86.10	$109.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $212.76 / $336.80	Professional		$141.84	$212.76	$336.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $124.64 / $124.64	Facility		$124.64	$124.64	$124.64
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $155.81 / $365.24	Professional		$75.11	$155.81	$365.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,186.95 / $1,186.95 / $1,345.39	Facility		$1,186.95	$1,186.95	$1,345.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.50 / $145.50 / $147.22	Professional		$145.50	$145.50	$147.22
United Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $226.94 / $475.39	Professional		$133.36	$226.94	$475.39