Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,629.00	Facility		$641.00	$2,371.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $253.24 / $300.45	Professional		$180.05	$253.24	$300.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.45 / $314.45 / $314.45	Facility		$314.45	$314.45	$314.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.03 / $1,188.03 / $1,188.03	Professional		$1,188.03	$1,188.03	$1,188.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $369.68 / $369.68	Professional		$369.68	$369.68	$369.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $271.47 / $1,544.00	Professional		$180.05	$271.47	$1,544.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $314.45 / $314.45 / $314.45	Facility		$314.45	$314.45	$314.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.03 / $1,188.03 / $1,188.03	Professional		$1,188.03	$1,188.03	$1,188.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.67 / $341.47 / $521.78	Professional		$251.67	$341.47	$521.78