Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.84 / $377.10 / $737.24	Facility		$131.84	$377.10	$737.24
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $772.27 / $999.90 / $2,020.34	Facility	25	$772.27	$999.90	$2,020.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $343.91 / $343.91 / $343.91	Professional	25	$343.91	$343.91	$343.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.06 / $1,157.06 / $1,157.06	Facility		$1,157.06	$1,157.06	$1,157.06
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $4,237.80 / $4,237.80 / $4,237.80	Facility		$4,237.80	$4,237.80	$4,237.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $377.10 / $377.10 / $377.10	Facility		$377.10	$377.10	$377.10
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $944.35 / $944.35 / $999.90	Facility	25	$944.35	$944.35	$999.90