Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.43 / $1,192.68 / $4,686.37	Facility		$317.43	$1,192.68	$4,686.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.44 / $238.71 / $376.18	Facility	54	$216.44	$238.71	$376.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $318.27 / $480.67	Professional		$266.07	$318.27	$480.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.95 / $353.20 / $384.80	Facility		$320.95	$353.20	$384.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $342.05 / $342.05	Professional		$192.97	$342.05	$342.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.65 / $514.65 / $514.65	Facility		$514.65	$514.65	$514.65
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $360.25 / $360.25 / $360.25	Facility	54	$360.25	$360.25	$360.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.98 / $427.56 / $867.98	Professional		$303.98	$427.56	$867.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $521.47 / $756.22	Facility		$195.83	$521.47	$756.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.22 / $552.22 / $552.22	Professional		$552.22	$552.22	$552.22
United Facility/Professional Professional Modifier Low / Median / High Price $242.82 / $371.38 / $501.57	Professional		$242.82	$371.38	$501.57