Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $483.95 / $908.98	Facility		$200.86	$483.95	$908.98
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $228.13 / $239.93 / $381.37	Facility	54	$228.13	$239.93	$381.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.16 / $341.08 / $578.47	Professional		$275.16	$341.08	$578.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $341.32 / $374.80 / $408.33	Facility		$341.32	$374.80	$408.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.76 / $362.96 / $362.96	Professional		$195.76	$362.96	$362.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.30 / $547.30 / $547.30	Facility		$547.30	$547.30	$547.30
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.12 / $383.12 / $383.12	Facility	54	$383.12	$383.12	$383.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.05 / $432.14 / $877.84	Professional		$313.05	$432.14	$877.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $487.00 / $820.00	Facility		$195.83	$487.00	$820.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.22 / $505.19 / $507.35	Professional		$462.22	$505.19	$507.35
United Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $382.36 / $522.90	Professional		$244.46	$382.36	$522.90