Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $225.12	Facility		$177.26	$177.26	$225.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $177.26 / $177.26	Professional		$166.83	$177.26	$177.26
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 $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $225.12	Facility		$177.26	$177.26	$225.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $177.26 / $177.26	Professional		$166.83	$177.26	$177.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26