Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.44 / $1,386.50 / $1,386.50	Facility		$454.44	$1,386.50	$1,386.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.12 / $77.80 / $153.07	Facility	53	$31.12	$77.80	$153.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.34 / $183.62 / $200.06	Facility		$164.34	$183.62	$200.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $263.52 / $263.52	Facility		$263.52	$263.52	$263.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,916.08 / $2,298.50 / $4,143.67	Facility		$1,916.08	$2,298.50	$4,143.67