Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $50.49 / $1,359.00	Facility		$50.49	$50.49	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $50.49 / $55.54	Professional		$50.49	$50.49	$55.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $128.13 / $184.57	Facility		$40.86	$128.13	$184.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $89.11 / $114.91	Facility		$22.47	$89.11	$114.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $50.49 / $1,812.00	Facility		$50.49	$50.49	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $50.49 / $55.54	Professional		$50.49	$50.49	$55.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $46.68 / $95.68	Facility		$22.47	$46.68	$95.68