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 $46.88 / $69.48 / $90.21	Professional		$46.88	$69.48	$90.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $84.96 / $84.96	Facility		$84.96	$84.96	$84.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.93 / $353.93 / $353.93	Professional		$353.93	$353.93	$353.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $110.90 / $110.90	Professional		$110.90	$110.90	$110.90
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 $46.88 / $73.84 / $1,544.00	Professional		$46.88	$73.84	$1,544.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $84.96 / $84.96	Facility		$84.96	$84.96	$84.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $353.93 / $353.93 / $353.93	Professional		$353.93	$353.93	$353.93
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $102.36 / $156.66	Professional		$76.53	$102.36	$156.66