Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.60 / $854.46 / $1,663.80	Facility		$554.60	$854.46	$1,663.80
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $525.46 / $929.66 / $1,658.16	Facility	25	$525.46	$929.66	$1,658.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $117.42 / $710.60	Professional		$82.61	$117.42	$710.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $211.43 / $250.00 / $634.44	Professional	25	$211.43	$250.00	$634.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $128.72 / $181.26	Facility		$117.03	$128.72	$181.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $175.55 / $271.33	Professional		$117.03	$175.55	$271.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $139.63 / $139.63	Facility		$139.63	$139.63	$139.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $146.00 / $259.39	Professional		$102.18	$146.00	$259.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $632.26 / $632.26 / $632.26	Facility		$632.26	$632.26	$632.26
Highmark BCBS Facility/Professional Facility Modifier 25 Low / Median / High Price $673.94 / $673.94 / $673.94	Facility	25	$673.94	$673.94	$673.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $152.22 / $240.86	Professional		$148.28	$152.22	$240.86
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $134.83 / $151.06 / $242.15	Professional	25	$134.83	$151.06	$242.15
United Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $117.01 / $187.25	Professional		$85.83	$117.01	$187.25