Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $231.45	Facility		$182.24	$182.24	$231.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $182.24 / $182.24	Professional		$171.52	$182.24	$182.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Facility		$182.24	$182.24	$182.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $231.45	Facility		$182.24	$182.24	$231.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $182.24 / $182.24	Professional		$171.52	$182.24	$182.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Facility		$182.24	$182.24	$182.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24