Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.92 / $2,656.50 / $9,676.17	Facility		$200.92	$2,656.50	$9,676.17
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $924.02 / $1,942.98 / $3,920.74	Facility	25	$924.02	$1,942.98	$3,920.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.06 / $258.56 / $466.35	Professional		$177.06	$258.56	$466.35
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $204.12 / $454.42 / $1,157.35	Professional	25	$204.12	$454.42	$1,157.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.12 / $234.74 / $323.38	Facility		$204.12	$234.74	$323.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.71 / $376.98 / $595.00	Professional		$255.71	$376.98	$595.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $286.33 / $286.33	Facility		$286.33	$286.33	$286.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.21 / $295.73 / $576.57	Professional		$202.21	$295.73	$576.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.31 / $381.70 / $426.35	Professional		$253.31	$381.70	$426.35
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $276.93 / $415.92 / $415.92	Professional	25	$276.93	$415.92	$415.92
United Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $279.52 / $413.25	Professional		$195.88	$279.52	$413.25