Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.05 / $789.60 / $996.89	Facility		$261.05	$789.60	$996.89
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $395.74 / $767.57 / $996.00	Facility	25	$395.74	$767.57	$996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $69.41 / $422.28	Professional		$50.47	$69.41	$422.28
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.19 / $133.97 / $425.68	Professional	25	$60.19	$133.97	$425.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.41 / $75.25 / $105.96	Facility		$68.41	$75.25	$105.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $102.62 / $158.61	Professional		$68.41	$102.62	$158.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $82.02 / $82.02	Facility		$82.02	$82.02	$82.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $82.19 / $151.94	Professional		$59.63	$82.19	$151.94
Highmark BCBS Facility/Professional Facility Modifier 25 Low / Median / High Price $452.05 / $452.05 / $452.05	Facility	25	$452.05	$452.05	$452.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $92.56 / $141.66	Professional		$83.88	$92.56	$141.66
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $83.88 / $89.66 / $142.94	Professional	25	$83.88	$89.66	$142.94
United Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $67.76 / $109.46	Professional		$46.07	$67.76	$109.46