Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.94 / $60,300.06 / $60,300.06	Facility		$452.94	$60,300.06	$60,300.06
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.20 / $225.55 / $353.77	Facility	54	$216.20	$225.55	$353.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.18 / $316.62 / $462.22	Professional		$257.18	$316.62	$462.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.61 / $350.77 / $382.17	Facility		$315.61	$350.77	$382.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $339.71 / $339.71	Professional		$181.62	$339.71	$339.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.07 / $506.07 / $506.07	Facility		$506.07	$506.07	$506.07
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.25 / $354.25 / $354.25	Facility	54	$354.25	$354.25	$354.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $396.33 / $865.63	Professional		$289.14	$396.33	$865.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.23 / $404.23 / $670.23	Professional		$404.23	$404.23	$670.23
United Facility/Professional Professional Modifier Low / Median / High Price $216.98 / $346.11 / $471.70	Professional		$216.98	$346.11	$471.70