Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $8,026.53 / $13,270.50	Facility		$5,351.02	$8,026.53	$13,270.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,441.35 / $5,225.12 / $10,320.12	Facility		$4,441.35	$5,225.12	$10,320.12
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,225.12 / $5,225.12 / $5,225.12	Professional		$5,225.12	$5,225.12	$5,225.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $8,026.53 / $13,270.50	Facility		$5,351.02	$8,026.53	$13,270.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $10,648.50	Professional		$5,351.02	$5,351.02	$10,648.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $7,244.86	Professional		$5,246.10	$5,246.10	$7,244.86