Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.89 / $314.89 / $495.06	Facility		$314.89	$314.89	$495.06
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $201.48 / $201.48 / $322.32	Facility	52	$201.48	$201.48	$322.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.89 / $314.89 / $314.89	Facility	54	$314.89	$314.89	$314.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.90 / $499.24 / $543.91	Facility		$448.90	$499.24	$543.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.95 / $483.95 / $483.95	Facility		$483.95	$483.95	$483.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $336.66	Facility	54	$336.66	$336.66	$336.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,095.85 / $1,095.85 / $1,095.85	Facility		$1,095.85	$1,095.85	$1,095.85