Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,701.70	Facility		$1,190.00	$1,190.00	$1,701.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,190.00 / $1,190.00	Professional		$1,120.00	$1,190.00	$1,190.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $3,070.20	Facility		$1,190.00	$1,190.00	$3,070.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,148.00 / $1,190.00 / $2,927.40	Professional		$1,148.00	$1,190.00	$2,927.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,933.40	Professional		$1,400.00	$1,400.00	$1,933.40