Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.01 / $461.49 / $1,200.00	Facility		$291.01	$461.49	$1,200.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $218.26 / $234.74 / $372.55	Facility	54	$218.26	$234.74	$372.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $328.88 / $530.72	Professional		$266.30	$328.88	$530.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.89 / $357.40 / $389.38	Facility		$324.89	$357.40	$389.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.18 / $346.12 / $346.12	Professional		$191.18	$346.12	$346.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.98 / $520.98 / $520.98	Facility		$520.98	$520.98	$520.98
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $364.69 / $364.69 / $364.69	Facility	54	$364.69	$364.69	$364.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.76 / $427.98 / $873.79	Professional		$300.76	$427.98	$873.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.00 / $482.00 / $482.00	Facility		$482.00	$482.00	$482.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.54 / $453.54 / $453.54	Professional		$453.54	$453.54	$453.54
United Facility/Professional Professional Modifier Low / Median / High Price $241.94 / $371.95 / $496.74	Professional		$241.94	$371.95	$496.74