Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.48 / $345.33 / $695.60	Facility		$227.48	$345.33	$695.60
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $160.83 / $163.95 / $264.68	Facility	54	$160.83	$163.95	$264.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $250.61 / $493.70	Professional		$197.47	$250.61	$493.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.35 / $273.30 / $297.77	Facility		$248.35	$273.30	$297.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $259.00 / $264.68	Professional		$133.03	$259.00	$264.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.22 / $265.22 / $265.22	Facility		$265.22	$265.22	$265.22
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.20 / $183.20 / $183.20	Facility	54	$183.20	$183.20	$183.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.85 / $296.67 / $599.19	Professional		$221.85	$296.67	$599.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $447.18 / $1,089.15	Facility		$16.27	$447.18	$1,089.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.97 / $374.91 / $547.05	Professional		$324.97	$374.91	$547.05
United Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $242.35 / $347.72	Professional		$160.69	$242.35	$347.72