Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $24.32 / $349.76	Facility		$24.32	$24.32	$349.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $316.70	Professional		$275.39	$275.39	$316.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Facility		$302.39	$302.39	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $275.39 / $465.43	Facility		$24.32	$275.39	$465.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $496.00	Professional		$275.39	$275.39	$496.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Facility		$302.39	$302.39	$302.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $324.00 / $452.63	Professional		$247.34	$324.00	$452.63