Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.77 / $586.61 / $734.05	Facility		$417.77	$586.61	$734.05
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.33 / $344.51 / $545.27	Facility	54	$313.33	$344.51	$545.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.77 / $473.49 / $696.55	Professional		$417.77	$473.49	$696.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.62 / $511.20 / $556.96	Facility		$460.62	$511.20	$556.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.80 / $495.07 / $495.07	Professional		$279.80	$495.07	$495.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.59 / $738.59 / $738.59	Facility		$738.59	$738.59	$738.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $517.01 / $517.01 / $517.01	Facility	54	$517.01	$517.01	$517.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.92 / $636.14 / $1,289.35	Professional		$430.92	$636.14	$1,289.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.69 / $420.69 / $6,761.04	Facility		$420.69	$420.69	$6,761.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.35 / $977.35 / $977.35	Professional		$977.35	$977.35	$977.35
United Facility/Professional Professional Modifier Low / Median / High Price $367.10 / $581.54 / $1,019.57	Professional		$367.10	$581.54	$1,019.57