Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $1,359.00	Facility		$191.92	$191.92	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $211.11	Professional		$191.91	$191.92	$211.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $171.72 / $202.02 / $252.53	Facility		$171.72	$202.02	$252.53
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $191.92 / $191.92	Professional		$163.13	$191.92	$191.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Facility		$188.55	$188.55	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $228.64 / $228.64 / $228.64	Professional		$228.64	$228.64	$228.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $426.47 / $1,812.00	Facility		$191.92	$426.47	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $263.56	Professional		$191.91	$191.92	$263.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Facility		$188.55	$188.55	$188.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $202.02 / $242.42	Professional		$168.35	$202.02	$242.42