Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.81 / $448.38 / $575.28	Facility		$305.81	$448.38	$575.28
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $191.14 / $208.51 / $335.88	Facility	54	$191.14	$208.51	$335.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $280.33 / $408.39	Professional		$222.40	$280.33	$408.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $287.36 / $318.14 / $346.63	Facility		$287.36	$318.14	$346.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.26 / $308.11 / $308.11	Professional		$172.26	$308.11	$308.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.77 / $460.77 / $460.77	Facility		$460.77	$460.77	$460.77
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $322.54	Facility	54	$322.54	$322.54	$322.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.19 / $360.05 / $749.25	Professional		$262.19	$360.05	$749.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.66 / $504.71 / $1,117.67	Facility		$266.66	$504.71	$1,117.67
United Facility/Professional Professional Modifier Low / Median / High Price $204.67 / $326.79 / $447.84	Professional		$204.67	$326.79	$447.84