Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.90 / $4,131.30 / $4,131.30	Facility		$622.90	$4,131.30	$4,131.30
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $295.36 / $324.75 / $514.34	Facility	54	$295.36	$324.75	$514.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.38 / $482.39 / $525.57	Facility		$436.38	$482.39	$525.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $699.73 / $699.73 / $699.73	Facility		$699.73	$699.73	$699.73
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $489.81 / $489.81 / $489.81	Facility	54	$489.81	$489.81	$489.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,285.47 / $11,285.47 / $11,285.47	Facility		$11,285.47	$11,285.47	$11,285.47