Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,526.00 / $9,534.00	Facility		$1,020.00	$5,526.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.80 / $3,024.82 / $4,066.52	Professional		$2,904.80	$3,024.82	$4,066.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $64,999.35 / $64,999.35	Professional		$55,249.45	$64,999.35	$64,999.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,350.00 / $8,451.00	Facility		$1,013.00	$5,350.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $3,024.82 / $7,197.00	Professional		$700.00	$3,024.82	$7,197.00
United Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $1,305.00 / $3,742.00	Facility		$412.00	$1,305.00	$3,742.00