Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $97.72 / $162.18	Facility		$57.54	$97.72	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $67.61	Professional		$53.70	$57.54	$67.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $56.23 / $5,011.87	Facility		$47.86	$56.23	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $87.10 / $162.18	Facility		$57.54	$87.10	$162.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $87.10	Professional		$53.70	$57.54	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $77.62	Professional		$56.23	$56.23	$77.62