Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.85 / $239.86 / $303.83	Facility		$153.85	$239.86	$303.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.80 / $239.86 / $263.83	Professional		$188.80	$239.86	$263.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $282.19 / $8,639.91	Facility		$239.86	$282.19	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Professional		$268.08	$268.08	$268.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Facility		$263.38	$263.38	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $228.45 / $228.45 / $386.08	Facility		$228.45	$228.45	$386.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $239.86 / $290.13	Professional		$213.92	$239.86	$290.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Facility		$263.38	$263.38	$263.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
United Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $282.19 / $352.74	Professional		$235.16	$282.19	$352.74