Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $227.97 / $376.91	Facility		$151.97	$227.97	$376.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $74.08 / $87.15 / $8,639.91	Facility		$74.08	$87.15	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $87.15 / $87.15	Professional		$87.15	$87.15	$87.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $227.97 / $376.91	Facility		$151.97	$227.97	$376.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $302.44	Professional		$151.97	$151.97	$302.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97