Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.52 / $2,390.50 / $4,789.39	Facility		$524.52	$2,390.50	$4,789.39
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $770.80 / $823.44 / $4,660.60	Facility	25	$770.80	$823.44	$4,660.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $114.00 / $790.40	Professional		$89.98	$114.00	$790.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $210.38 / $232.47 / $758.88	Professional	25	$210.38	$232.47	$758.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $117.20 / $161.62	Facility		$101.91	$117.20	$161.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $165.71 / $261.49	Professional		$112.78	$165.71	$261.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $143.15	Facility		$143.15	$143.15	$143.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $135.34 / $261.05	Professional		$100.47	$135.34	$261.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $147.84 / $209.61	Professional		$138.16	$147.84	$209.61
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $126.42 / $126.42 / $138.16	Professional	25	$126.42	$126.42	$138.16
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $125.93 / $181.37	Professional		$87.56	$125.93	$181.37
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	25	$80.00	$80.00	$80.00