Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.48 / $475.64 / $829.08	Facility		$227.48	$475.64	$829.08
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $232.22 / $242.03 / $385.12	Facility	54	$232.22	$242.03	$385.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.36 / $473.45 / $718.60	Professional		$262.36	$473.45	$718.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,038.72 / $1,038.72 / $1,038.72	Professional	50	$1,038.72	$1,038.72	$1,038.72
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $232.22 / $267.58 / $369.20	Professional	54	$232.22	$267.58	$369.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.66 / $370.39 / $471.81	Facility		$308.66	$370.39	$471.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.93 / $481.40 / $744.09	Professional		$320.93	$481.40	$744.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.70 / $560.70 / $560.70	Facility		$560.70	$560.70	$560.70
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $392.49 / $392.49 / $392.49	Facility	54	$392.49	$392.49	$392.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.68 / $404.43 / $876.12	Professional		$314.68	$404.43	$876.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $576.29 / $1,080.09	Facility		$195.83	$576.29	$1,080.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.60 / $545.69 / $783.64	Professional		$486.60	$545.69	$783.64
United Facility/Professional Professional Modifier Low / Median / High Price $223.09 / $322.33 / $513.49	Professional		$223.09	$322.33	$513.49