Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $97.35 / $193.30	Facility		$76.88	$97.35	$193.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $156.97 / $306.04	Professional		$119.29	$156.97	$306.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $113.68 / $133.74 / $8,639.91	Facility		$113.68	$133.74	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $127.05 / $127.05	Professional		$127.05	$127.05	$127.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $149.50 / $248.35	Facility		$78.00	$149.50	$248.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $156.97 / $315.24	Professional		$119.29	$156.97	$315.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $153.90 / $192.38	Professional		$149.63	$153.90	$192.38