Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $291.01 / $2,086.80	Facility		$11.28	$291.01	$2,086.80
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $135.53 / $143.55 / $231.30	Facility	54	$135.53	$143.55	$231.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $275.33 / $432.67	Professional		$165.88	$275.33	$432.67
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $135.53 / $155.66 / $222.25	Professional	54	$135.53	$155.66	$222.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.45 / $225.36 / $245.54	Facility		$205.45	$225.36	$245.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $218.26 / $218.26	Professional		$118.69	$218.26	$218.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.43 / $329.43 / $329.43	Facility		$329.43	$329.43	$329.43
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.60 / $230.60 / $230.60	Facility	54	$230.60	$230.60	$230.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.47 / $254.63 / $528.66	Professional		$188.47	$254.63	$528.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $484.76 / $863.88	Facility		$195.83	$484.76	$863.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.07 / $439.69 / $467.68	Professional		$282.07	$439.69	$467.68
United Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $201.02 / $315.88	Professional		$144.56	$201.02	$315.88