Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,920.00 / $7,209.00	Facility		$1,000.00	$1,920.00	$7,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.16 / $1,000.00 / $1,500.00	Professional		$199.16	$1,000.00	$1,500.00
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 $2,237.50 / $2,321.94 / $2,321.94	Professional		$2,237.50	$2,321.94	$2,321.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,626.80 / $3,626.80 / $3,808.14	Facility		$3,626.80	$3,626.80	$3,808.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.94 / $1,153.94 / $1,382.55	Professional		$1,153.94	$1,153.94	$1,382.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,920.00 / $7,209.00	Facility		$1,300.00	$1,920.00	$7,209.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,297.00	Professional		$1,000.00	$1,000.00	$2,297.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,808.14 / $3,808.14 / $3,808.14	Facility		$3,808.14	$3,808.14	$3,808.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.94 / $1,153.94 / $1,382.55	Professional		$1,153.94	$1,153.94	$1,382.55