Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.68 / $616.77 / $1,400.00	Facility		$390.68	$616.77	$1,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $293.01 / $315.95 / $500.39	Facility	54	$293.01	$315.95	$500.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $431.40 / $477.65 / $520.40	Facility		$431.40	$477.65	$520.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.75 / $691.75 / $691.75	Facility		$691.75	$691.75	$691.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $484.22 / $484.22 / $484.22	Facility	54	$484.22	$484.22	$484.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,670.81 / $8,670.81 / $8,670.81	Facility		$8,670.81	$8,670.81	$8,670.81