Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $986.59	Facility		$776.84	$776.84	$986.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.14 / $776.84 / $776.84	Professional		$731.14	$776.84	$776.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,165.97 / $6,077.61 / $9,116.42	Facility		$5,165.97	$6,077.61	$9,116.42
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6,077.61 / $6,077.61 / $6,077.61	Professional		$6,077.61	$6,077.61	$6,077.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $986.59 / $1,110.88	Facility		$776.84	$986.59	$1,110.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $731.14 / $776.84 / $986.59	Professional		$731.14	$776.84	$986.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $993.90	Professional		$761.61	$761.61	$993.90