Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,262.25	Facility		$1,262.25	$1,262.25	$1,262.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,262.25 / $1,262.25	Professional		$1,188.00	$1,262.25	$1,262.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,262.25	Facility		$1,262.25	$1,262.25	$1,262.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.25 / $1,336.50 / $1,670.63	Professional		$1,262.25	$1,336.50	$1,670.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,262.25	Facility		$1,262.25	$1,262.25	$1,262.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,217.70 / $1,262.25 / $1,262.25	Professional		$1,217.70	$1,262.25	$1,262.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,262.25	Facility		$1,262.25	$1,262.25	$1,262.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.25 / $1,336.50 / $1,670.63	Professional		$1,262.25	$1,336.50	$1,670.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,311.75 / $1,311.75 / $1,311.75	Facility		$1,311.75	$1,311.75	$1,311.75