Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $95.50	Professional		$54.95	$79.43	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $812.83 / $977.24	Facility		$398.11	$812.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $436.52 / $436.52	Professional		$173.78	$436.52	$436.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $95.50	Professional		$57.54	$79.43	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $1,230.27	Facility		$512.86	$912.01	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $151.36	Professional		$72.44	$93.33	$151.36