Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.86 / $193.84 / $193.84	Facility		$172.86	$193.84	$193.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $172.86 / $211.06	Professional		$138.13	$172.86	$211.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $142.07 / $142.07	Professional		$136.90	$142.07	$142.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $193.84 / $193.84 / $193.84	Facility		$193.84	$193.84	$193.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $140.37 / $172.89 / $220.42	Professional		$140.37	$172.89	$220.42