Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.89 / $362.26 / $438.70	Professional		$309.89	$362.26	$438.70
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $603.91 / $626.70 / $626.70	Professional		$603.91	$626.70	$626.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $435.94	Professional		$108.80	$128.00	$435.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $262.77 / $362.26 / $438.70	Professional		$262.77	$362.26	$438.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $435.94	Professional		$108.80	$128.00	$435.94
United Facility/Professional Professional Modifier Low / Median / High Price $334.28 / $408.40 / $734.30	Professional		$334.28	$408.40	$734.30