Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $297.33 / $474.05	Facility		$280.50	$297.33	$474.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Professional		$297.33	$297.33	$297.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Facility		$326.48	$326.48	$326.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $280.50 / $474.05	Facility		$280.50	$280.50	$474.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $297.33 / $349.80	Professional		$280.50	$297.33	$349.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Facility		$326.48	$326.48	$326.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
United Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $349.80 / $419.76	Professional		$300.25	$349.80	$419.76