Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.17 / $177.26 / $293.06	Facility		$118.17	$177.26	$293.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $119.58 / $119.58	Professional		$118.17	$119.58	$119.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $115.60 / $8,639.91	Facility		$98.26	$115.60	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $115.60 / $115.60	Professional		$115.60	$115.60	$115.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $118.17 / $177.26 / $293.06	Facility		$118.17	$177.26	$293.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $119.58 / $235.16	Professional		$118.17	$119.58	$235.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $161.91	Professional		$117.24	$117.24	$161.91