Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.70 / $924.02 / $924.02	Facility		$435.70	$924.02	$924.02
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $205.45 / $221.26 / $352.20	Facility	54	$205.45	$221.26	$352.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $311.54 / $505.82	Professional		$248.53	$311.54	$505.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.39 / $337.42 / $367.62	Facility		$307.39	$337.42	$367.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $326.77 / $326.77	Professional		$180.82	$326.77	$326.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.90 / $492.90 / $492.90	Facility		$492.90	$492.90	$492.90
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $345.03	Facility	54	$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.37 / $396.85 / $814.90	Professional		$285.37	$396.85	$814.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $267.17 / $760.00	Facility		$195.83	$267.17	$760.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.55 / $454.73 / $656.97	Professional		$429.55	$454.73	$656.97
United Facility/Professional Professional Modifier Low / Median / High Price $218.15 / $333.18 / $469.60	Professional		$218.15	$333.18	$469.60