Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $167.68 / $217.85	Facility		$67.31	$167.68	$217.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $67.31 / $86.71	Professional		$66.64	$67.31	$86.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $72.30 / $8,639.91	Facility		$61.46	$72.30	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $69.16 / $69.16	Professional		$69.16	$69.16	$69.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $66.64 / $66.64	Facility		$62.87	$66.64	$66.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.38 / $142.60 / $217.85	Facility		$72.38	$142.60	$217.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $72.38 / $217.85	Professional		$66.64	$72.38	$217.85
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $66.64 / $66.64	Facility		$62.87	$66.64	$66.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
United Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $74.64 / $96.63	Professional		$66.64	$74.64	$96.63