Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.45 / $309.60 / $447.02	Facility		$281.45	$309.60	$447.02
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $194.39 / $211.10 / $335.27	Facility	54	$194.39	$211.10	$335.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $293.14 / $565.87	Professional		$236.65	$293.14	$565.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.69 / $318.55 / $347.07	Facility		$289.69	$318.55	$347.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $308.51 / $308.51	Professional		$172.06	$308.51	$308.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.51 / $464.51 / $464.51	Facility		$464.51	$464.51	$464.51
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $325.16 / $325.16 / $325.16	Facility	54	$325.16	$325.16	$325.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.05 / $383.65 / $784.30	Professional		$271.05	$383.65	$784.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.10 / $482.10 / $482.10	Facility		$482.10	$482.10	$482.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.22 / $428.22 / $618.66	Professional		$428.22	$428.22	$618.66
United Facility/Professional Professional Modifier Low / Median / High Price $217.31 / $332.93 / $447.02	Professional		$217.31	$332.93	$447.02