Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.88 / $1,808.51 / $5,231.85	Facility		$425.88	$1,808.51	$5,231.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $988.26 / $1,217.68	Professional		$900.00	$988.26	$1,217.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $160.59 / $419.76	Facility		$105.78	$160.59	$419.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $736.38 / $920.47	Professional		$736.38	$736.38	$920.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $985.38 / $1,946.87 / $5,231.85	Facility		$985.38	$1,946.87	$5,231.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $988.26 / $1,482.39	Professional		$900.00	$988.26	$1,482.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $210.43 / $431.80	Facility		$105.78	$210.43	$431.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $736.38 / $920.47	Professional		$736.38	$736.38	$920.47
United Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $26.24 / $61.38	Facility		$26.24	$26.24	$61.38