Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.50 / $593.14 / $593.14	Facility		$362.50	$593.14	$593.14
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $170.12 / $174.79 / $280.57	Facility	54	$170.12	$174.79	$280.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $249.50 / $358.66	Professional		$200.02	$249.50	$358.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $289.72 / $315.64	Facility		$263.39	$289.72	$315.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.40 / $271.87 / $280.57	Professional		$139.40	$271.87	$280.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $278.24 / $278.24	Facility		$278.24	$278.24	$278.24
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.34 / $192.34 / $192.34	Facility	54	$192.34	$192.34	$192.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $315.77 / $649.01	Professional		$233.12	$315.77	$649.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $195.83 / $553.34	Facility		$195.83	$195.83	$553.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.41 / $554.41 / $574.54	Professional		$355.41	$554.41	$574.54
United Facility/Professional Professional Modifier Low / Median / High Price $170.98 / $273.55 / $373.11	Professional		$170.98	$273.55	$373.11