Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.55 / $634.24 / $768.08	Professional		$542.55	$634.24	$768.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,057.84 / $1,097.77 / $1,840.44	Professional		$1,057.84	$1,097.77	$1,840.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.78 / $1,212.78 / $1,212.78	Facility		$1,212.78	$1,212.78	$1,212.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $894.40 / $1,543.13	Professional		$894.40	$894.40	$1,543.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $634.24 / $768.08	Professional		$460.08	$634.24	$768.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.78 / $1,212.78 / $1,212.78	Facility		$1,212.78	$1,212.78	$1,212.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $1,234.50 / $1,543.13	Professional		$894.40	$1,234.50	$1,543.13
United Facility/Professional Professional Modifier Low / Median / High Price $553.62 / $719.26 / $1,251.46	Professional		$553.62	$719.26	$1,251.46