Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.15 / $2,062.73 / $3,410.37	Facility		$1,375.15	$2,062.73	$3,410.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.15 / $1,375.15 / $1,375.15	Professional		$1,375.15	$1,375.15	$1,375.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,260.55 / $1,483.00 / $8,639.91	Facility		$1,260.55	$1,483.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,483.00 / $1,483.00 / $1,483.00	Professional		$1,483.00	$1,483.00	$1,483.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,375.15 / $2,062.73 / $3,410.37	Facility		$1,375.15	$2,062.73	$3,410.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,375.15 / $1,375.15 / $2,736.55	Professional		$1,375.15	$1,375.15	$2,736.55
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,917.70	Professional		$1,388.63	$1,388.63	$1,917.70