Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.28 / $739.28 / $2,600.00	Facility		$739.28	$739.28	$2,600.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $554.46 / $554.46 / $554.46	Facility	54	$554.46	$554.46	$554.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.28 / $875.54 / $1,084.97	Professional		$739.28	$875.54	$1,084.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $639.11 / $639.11 / $756.14	Facility		$639.11	$639.11	$756.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $672.12 / $672.12 / $672.12	Professional		$672.12	$672.12	$672.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.33 / $692.33 / $692.33	Facility		$692.33	$692.33	$692.33
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $484.63 / $484.63 / $484.63	Facility	54	$484.63	$484.63	$484.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.91 / $923.36 / $4,480.20	Professional		$601.91	$923.36	$4,480.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,631.70 / $3,631.70 / $3,631.70	Facility		$3,631.70	$3,631.70	$3,631.70
United Facility/Professional Professional Modifier Low / Median / High Price $726.12 / $999.18 / $1,822.04	Professional		$726.12	$999.18	$1,822.04