Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.48 / $1,883.76 / $1,883.76	Facility		$244.48	$1,883.76	$1,883.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,898.96 / $2,898.96 / $2,898.96	Facility	50	$2,898.96	$2,898.96	$2,898.96
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $154.09 / $164.36 / $195.58	Facility	54	$154.09	$164.36	$195.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.45 / $258.87 / $358.58	Professional		$205.45	$258.87	$358.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $637.44 / $637.44 / $641.30	Professional	50	$637.44	$637.44	$641.30
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $154.09 / $183.36 / $268.94	Professional	54	$154.09	$183.36	$268.94
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $30.82 / $36.67 / $53.79	Professional	55	$30.82	$36.67	$53.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.70 / $224.04 / $280.05	Facility		$186.70	$224.04	$280.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.60 / $249.43 / $509.16	Professional		$219.60	$249.43	$509.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.33 / $340.33 / $340.33	Facility		$340.33	$340.33	$340.33
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $238.23 / $238.23 / $238.23	Facility	54	$238.23	$238.23	$238.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.16 / $307.66 / $949.49	Professional		$219.16	$307.66	$949.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.48 / $481.48 / $1,507.92	Facility		$481.48	$481.48	$1,507.92
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,015.83 / $3,015.83 / $3,015.83	Facility	50	$3,015.83	$3,015.83	$3,015.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.68 / $351.55 / $477.72	Professional		$232.68	$351.55	$477.72
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $460.21 / $530.29 / $705.00	Professional	50	$460.21	$530.29	$705.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $328.87 / $527.79	Professional		$187.93	$328.87	$527.79