Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.62 / $657.06 / $695.60	Facility		$585.62	$657.06	$695.60
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.20 / $276.14 / $438.12	Facility	54	$255.20	$276.14	$438.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $386.53 / $652.66	Professional		$311.50	$386.53	$652.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.49 / $416.81 / $454.11	Facility		$378.49	$416.81	$454.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.84 / $403.66 / $403.66	Professional		$224.84	$403.66	$403.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.91 / $606.91 / $606.91	Facility		$606.91	$606.91	$606.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $424.84	Facility	54	$424.84	$424.84	$424.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.89 / $504.57 / $1,030.33	Professional		$352.89	$504.57	$1,030.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $569.50 / $569.50 / $635.07	Facility		$569.50	$569.50	$635.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.73 / $809.41 / $883.81	Professional		$611.73	$809.41	$883.81
United Facility/Professional Professional Modifier Low / Median / High Price $276.81 / $446.49 / $584.16	Professional		$276.81	$446.49	$584.16