Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $284.82 / $675.86	Facility		$11.28	$284.82	$675.86
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $222.63 / $239.55 / $381.13	Facility	54	$222.63	$239.55	$381.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $333.22 / $656.44	Professional		$276.68	$333.22	$656.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.49 / $365.21 / $397.90	Facility		$332.49	$365.21	$397.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.56 / $353.69 / $353.69	Professional		$195.56	$353.69	$353.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.14 / $533.14 / $533.14	Facility		$533.14	$533.14	$533.14
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.20 / $373.20 / $373.20	Facility	54	$373.20	$373.20	$373.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.77 / $442.11 / $900.80	Professional		$307.77	$442.11	$900.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.26 / $616.26 / $616.26	Facility		$616.26	$616.26	$616.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.52 / $708.52 / $725.33	Professional		$708.52	$708.52	$725.33
United Facility/Professional Professional Modifier Low / Median / High Price $244.23 / $370.66 / $508.18	Professional		$244.23	$370.66	$508.18