Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.94 / $1,153.38 / $4,918.08	Facility		$187.94	$1,153.38	$4,918.08
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $128.15 / $128.15 / $148.02	Facility	54	$128.15	$128.15	$148.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $187.94 / $387.10	Professional		$148.00	$187.94	$387.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.94 / $211.31 / $255.80	Facility		$173.94	$211.31	$255.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.97 / $384.44 / $452.28	Professional		$198.97	$384.44	$452.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.79 / $308.79 / $308.79	Facility		$308.79	$308.79	$308.79
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.15 / $216.15 / $216.15	Facility	54	$216.15	$216.15	$216.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.70 / $243.43 / $536.54	Professional		$187.70	$243.43	$536.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.18 / $803.06 / $1,438.81	Facility		$505.18	$803.06	$1,438.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.97 / $289.12 / $317.35	Professional		$276.97	$289.12	$317.35
United Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $240.13 / $312.11	Professional		$160.21	$240.13	$312.11