Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $816.00 / $2,097.00	Facility		$425.00	$816.00	$2,097.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $475.00	Professional		$400.00	$425.00	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.28 / $952.87 / $1,761.99	Facility		$412.28	$952.87	$1,761.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $539.75 / $1,421.00 / $2,105.00	Facility		$539.75	$1,421.00	$2,105.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $425.00 / $705.50	Professional		$402.08	$425.00	$705.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $396.73 / $914.86 / $1,761.99	Facility		$396.73	$914.86	$1,761.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $229.06 / $229.06 / $229.06	Professional		$229.06	$229.06	$229.06
United Facility/Professional Professional Modifier Low / Median / High Price $454.56 / $454.56 / $454.56	Professional		$454.56	$454.56	$454.56