Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.76 / $332.76 / $397.47	Facility		$332.76	$332.76	$397.47
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $186.36 / $204.84 / $326.54	Facility	54	$186.36	$204.84	$326.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $273.12 / $409.26	Professional		$221.28	$273.12	$409.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.12 / $307.81 / $335.37	Facility		$280.12	$307.81	$335.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $298.10 / $298.10	Professional		$167.68	$298.10	$298.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.16 / $449.16 / $449.16	Facility		$449.16	$449.16	$449.16
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.41 / $314.41 / $314.41	Facility	54	$314.41	$314.41	$314.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.93 / $348.39 / $734.28	Professional		$256.93	$348.39	$734.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.00 / $398.00 / $417.02	Facility		$398.00	$398.00	$417.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.43 / $413.43 / $597.30	Professional		$413.43	$413.43	$597.30
United Facility/Professional Professional Modifier Low / Median / High Price $195.43 / $289.18 / $435.39	Professional		$195.43	$289.18	$435.39