Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $620.40 / $800.88	Facility		$11.28	$620.40	$800.88
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $205.96 / $215.75 / $343.94	Facility	54	$205.96	$215.75	$343.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $333.10 / $628.89	Professional		$245.16	$333.10	$628.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $205.96 / $236.27 / $330.41	Professional	54	$205.96	$236.27	$330.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.39 / $339.95 / $370.37	Facility		$310.39	$339.95	$370.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $329.22 / $329.22	Professional		$176.44	$329.22	$329.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.70 / $497.70 / $497.70	Facility		$497.70	$497.70	$497.70
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $348.39 / $348.39 / $348.39	Facility	54	$348.39	$348.39	$348.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.13 / $356.99 / $786.11	Professional		$277.13	$356.99	$786.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.80 / $635.07 / $992.06	Facility		$257.80	$635.07	$992.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.71 / $459.82 / $680.09	Professional		$420.71	$459.82	$680.09
United Facility/Professional Professional Modifier Low / Median / High Price $197.16 / $285.85 / $458.59	Professional		$197.16	$285.85	$458.59