Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.13 / $469.06 / $1,200.00	Facility		$295.13	$469.06	$1,200.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.35 / $230.25 / $362.17	Facility	54	$221.35	$230.25	$362.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $331.66 / $645.17	Professional		$266.35	$331.66	$645.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.76 / $363.25 / $395.77	Facility		$329.76	$363.25	$395.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.80 / $351.79 / $351.79	Professional		$185.80	$351.79	$351.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.76 / $528.76 / $528.76	Facility		$528.76	$528.76	$528.76
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.13 / $370.13 / $370.13	Facility	54	$370.13	$370.13	$370.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $417.82 / $853.84	Professional		$301.45	$417.82	$853.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $195.83 / $423.23	Facility		$195.83	$195.83	$423.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.22 / $478.22 / $714.51	Professional		$478.22	$478.22	$714.51
United Facility/Professional Professional Modifier Low / Median / High Price $229.05 / $355.72 / $511.53	Professional		$229.05	$355.72	$511.53