Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.35 / $753.84 / $1,400.00	Facility		$482.35	$753.84	$1,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $361.76 / $392.05 / $613.90	Facility	54	$361.76	$392.05	$613.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $523.97 / $803.85	Professional		$455.06	$523.97	$803.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $525.12 / $583.79 / $636.04	Facility		$525.12	$583.79	$636.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.83 / $565.38 / $565.38	Professional		$314.83	$565.38	$565.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.02 / $842.02 / $842.02	Facility		$842.02	$842.02	$842.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $589.41 / $589.41 / $589.41	Facility	54	$589.41	$589.41	$589.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.99 / $716.22 / $1,493.32	Professional		$489.99	$716.22	$1,493.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,507.19 / $3,507.19 / $3,507.19	Facility		$3,507.19	$3,507.19	$3,507.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.77 / $769.77 / $1,112.13	Professional		$769.77	$769.77	$1,112.13
United Facility/Professional Professional Modifier Low / Median / High Price $405.65 / $641.26 / $838.35	Professional		$405.65	$641.26	$838.35