Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.92 / $581.86 / $1,010.50	Facility		$349.92	$581.86	$1,010.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $144.94 / $159.06 / $256.70	Facility	52	$144.94	$159.06	$256.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $217.43 / $238.58 / $385.07	Facility	54	$217.43	$238.58	$385.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.15 / $356.02 / $656.75	Professional		$254.15	$356.02	$656.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.64 / $361.68 / $394.05	Facility		$326.64	$361.68	$394.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.55 / $350.27 / $350.27	Professional		$197.55	$350.27	$350.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.77 / $523.77 / $523.77	Facility		$523.77	$523.77	$523.77
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $419.02 / $419.02 / $419.02	Facility	52	$419.02	$419.02	$419.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $366.64 / $366.64 / $366.64	Facility	54	$366.64	$366.64	$366.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.58 / $408.65 / $855.72	Professional		$298.58	$408.65	$855.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.91 / $635.07 / $1,092.23	Facility		$255.91	$635.07	$1,092.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.19 / $479.19 / $479.19	Professional		$479.19	$479.19	$479.19
United Facility/Professional Professional Modifier Low / Median / High Price $226.69 / $356.22 / $511.94	Professional		$226.69	$356.22	$511.94