Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.84 / $480.34 / $3,136.00	Facility		$148.84	$480.34	$3,136.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $71.92 / $71.92 / $85.10	Facility	54	$71.92	$71.92	$85.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $182.35 / $226.13	Professional		$95.59	$182.35	$226.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $121.14 / $146.66	Facility		$99.73	$121.14	$146.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $225.65 / $265.48	Professional		$116.79	$225.65	$265.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.33 / $178.33 / $178.33	Facility		$178.33	$178.33	$178.33
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $124.83 / $124.83 / $124.83	Facility	54	$124.83	$124.83	$124.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $142.75 / $299.95	Professional		$107.70	$142.75	$299.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.99 / $580.62 / $891.27	Facility		$248.99	$580.62	$891.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $166.45 / $217.81	Professional		$122.49	$166.45	$217.81
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $131.69 / $172.58	Professional		$87.23	$131.69	$172.58