Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.08 / $682.57 / $1,400.00	Facility		$595.08	$682.57	$1,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $446.31 / $446.31 / $511.93	Facility	54	$446.31	$446.31	$511.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.63 / $646.21 / $1,049.10	Professional		$519.63	$646.21	$1,049.10
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $441.83 / $511.93 / $786.83	Professional	54	$441.83	$511.93	$786.83
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $88.37 / $102.39 / $157.37	Professional	55	$88.37	$102.39	$157.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.01 / $673.66 / $733.95	Facility		$620.01	$673.66	$733.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $652.15 / $652.40 / $828.97	Professional		$652.15	$652.40	$828.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $994.17 / $994.17 / $994.17	Facility		$994.17	$994.17	$994.17
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $695.92 / $695.92 / $695.92	Facility	54	$695.92	$695.92	$695.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.92 / $761.14 / $2,801.72	Professional		$543.92	$761.14	$2,801.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,666.21 / $3,666.21 / $3,666.21	Facility		$3,666.21	$3,666.21	$3,666.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.56 / $1,045.56 / $1,374.63	Professional		$1,045.56	$1,045.56	$1,374.63
United Facility/Professional Professional Modifier Low / Median / High Price $504.60 / $663.10 / $1,011.82	Professional		$504.60	$663.10	$1,011.82