Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.93 / $825.32 / $825.32	Facility		$346.93	$825.32	$825.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $164.33 / $176.35 / $278.60	Facility	54	$164.33	$176.35	$278.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $248.60 / $433.71	Professional		$209.50	$248.60	$433.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.73 / $268.67 / $292.72	Facility		$245.73	$268.67	$292.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $260.20 / $260.20	Professional		$142.97	$260.20	$260.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.02 / $394.02 / $394.02	Facility		$394.02	$394.02	$394.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.81 / $275.81 / $275.81	Facility	54	$275.81	$275.81	$275.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.26 / $325.25 / $670.80	Professional		$226.26	$325.25	$670.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $506.62 / $566.53	Facility		$195.83	$506.62	$566.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.48 / $342.04 / $411.23	Professional		$333.48	$342.04	$411.23
United Facility/Professional Facility Modifier Low / Median / High Price $672.56 / $672.56 / $672.56	Facility		$672.56	$672.56	$672.56
United Facility/Professional Professional Modifier Low / Median / High Price $189.13 / $290.77 / $388.72	Professional		$189.13	$290.77	$388.72