Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.52 / $129.53 / $129.53	Facility		$115.52	$129.53	$129.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $120.44 / $166.42	Professional		$93.95	$120.44	$166.42
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 $160.91 / $166.98 / $166.98	Professional		$160.91	$166.98	$166.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $129.53 / $129.53 / $129.53	Facility		$129.53	$129.53	$129.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $125.78 / $171.36	Professional		$98.64	$125.78	$171.36