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 $156.10 / $231.50 / $300.45	Professional		$156.10	$231.50	$300.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $283.02 / $283.02	Facility		$283.02	$283.02	$283.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.68 / $1,178.68 / $1,178.68	Professional		$1,178.68	$1,178.68	$1,178.68
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 $156.10 / $245.70 / $1,544.00	Professional		$156.10	$245.70	$1,544.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $283.02 / $283.02	Facility		$283.02	$283.02	$283.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.68 / $1,178.68 / $1,178.68	Professional		$1,178.68	$1,178.68	$1,178.68
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 $245.56 / $341.47 / $527.83	Professional		$245.56	$341.47	$527.83