Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,422.00 / $7,799.00	Facility		$594.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $155.54 / $224.20	Professional		$105.06	$155.54	$224.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,422.00 / $8,017.00	Facility		$641.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $168.37 / $1,978.00	Professional		$105.06	$168.37	$1,978.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $190.19 / $190.19 / $190.19	Facility		$190.19	$190.19	$190.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $792.02 / $792.02 / $792.02	Professional		$792.02	$792.02	$792.02
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $203.55 / $376.80	Professional		$167.58	$203.55	$376.80