Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.71 / $248.77 / $318.24	Facility		$244.71	$248.77	$318.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $198.90 / $248.77	Professional		$198.90	$198.90	$248.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $182.33 / $214.50 / $8,639.91	Facility		$182.33	$214.50	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $214.50 / $214.50	Professional		$214.50	$214.50	$214.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Facility		$206.70	$206.70	$206.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $318.24 / $318.24 / $318.24	Facility		$318.24	$318.24	$318.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $198.90	Professional		$187.20	$187.20	$198.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Facility		$206.70	$206.70	$206.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $403.30	Professional		$234.00	$234.00	$403.30