Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.43 / $898.43 / $3,050.00	Facility		$898.43	$898.43	$3,050.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $673.82 / $673.82 / $673.82	Facility	54	$673.82	$673.82	$673.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.41 / $898.43 / $1,476.23	Professional		$738.41	$898.43	$1,476.23
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $117.50 / $134.76 / $235.78	Professional	55	$117.50	$134.76	$235.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $927.02 / $1,008.71 / $1,098.99	Facility		$927.02	$1,008.71	$1,098.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $853.29 / $924.65 / $1,092.77	Professional		$853.29	$924.65	$1,092.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.42 / $999.42 / $999.42	Facility		$999.42	$999.42	$999.42
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $698.63 / $698.63 / $698.63	Facility	54	$698.63	$698.63	$698.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.21 / $1,139.70 / $4,766.83	Professional		$805.21	$1,139.70	$4,766.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,067.74 / $4,067.74 / $4,067.74	Facility		$4,067.74	$4,067.74	$4,067.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.14 / $1,237.14 / $1,237.14	Professional		$1,237.14	$1,237.14	$1,237.14
United Facility/Professional Professional Modifier Low / Median / High Price $677.78 / $955.85 / $1,339.82	Professional		$677.78	$955.85	$1,339.82