Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.06 / $371.15 / $510.00	Facility		$295.06	$371.15	$510.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.30 / $241.12 / $382.50	Facility	54	$221.30	$241.12	$382.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.76 / $333.73 / $576.96	Professional		$272.76	$333.73	$576.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.39 / $361.80 / $394.19	Facility		$329.39	$361.80	$394.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.15 / $350.39 / $350.39	Professional		$196.15	$350.39	$350.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.16 / $528.16 / $528.16	Facility		$528.16	$528.16	$528.16
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $369.72 / $369.72 / $369.72	Facility	54	$369.72	$369.72	$369.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.85 / $437.98 / $899.48	Professional		$309.85	$437.98	$899.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.35 / $121.35 / $121.35	Facility		$121.35	$121.35	$121.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $514.04 / $514.04	Professional		$514.04	$514.04	$514.04
United Facility/Professional Professional Modifier Low / Median / High Price $249.48 / $380.22 / $513.22	Professional		$249.48	$380.22	$513.22