Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.81 / $610.05 / $610.05	Facility		$373.81	$610.05	$610.05
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $174.08 / $188.56 / $303.11	Facility	54	$174.08	$188.56	$303.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $266.75 / $438.92	Professional		$220.46	$266.75	$438.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.07 / $289.49 / $315.39	Facility		$264.07	$289.49	$315.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.53 / $280.36 / $280.36	Professional		$155.53	$280.36	$280.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.44 / $423.44 / $423.44	Facility		$423.44	$423.44	$423.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.41 / $296.41 / $296.41	Facility	54	$296.41	$296.41	$296.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $336.68 / $701.29	Professional		$246.64	$336.68	$701.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.32 / $336.32 / $380.18	Facility		$336.32	$336.32	$380.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.82 / $356.82 / $563.42	Professional		$356.82	$356.82	$563.42
United Facility/Professional Professional Modifier Low / Median / High Price $191.47 / $287.11 / $416.77	Professional		$191.47	$287.11	$416.77