Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $261.77 / $703.47	Facility		$132.88	$261.77	$703.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $231.75	Professional		$132.88	$132.88	$231.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $159.10 / $229.19	Facility		$50.75	$159.10	$229.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $67.08 / $144.05	Facility		$35.36	$67.08	$144.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $135.31 / $261.77 / $703.47	Facility		$135.31	$261.77	$703.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $369.41	Professional		$132.88	$132.88	$369.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $85.90 / $144.05	Facility		$35.90	$85.90	$144.05
United Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $60.45 / $60.45	Professional		$60.45	$60.45	$60.45