Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $4,194.00 / $10,096.00	Facility		$954.00	$4,194.00	$10,096.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $2,719.85	Professional		$40.00	$40.00	$2,719.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $10,509.00	Facility		$1,020.00	$4,761.00	$10,509.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $1,068.00 / $6,832.00	Professional		$40.00	$1,068.00	$6,832.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00