Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,073.80 / $6,165.95	Facility		$2,187.76	$4,073.80	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $2,570.40	Professional		$2,089.30	$2,187.76	$2,570.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $7,079.46	Facility		$3,019.95	$3,548.13	$7,079.46
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $5,623.41	Facility		$2,187.76	$3,311.31	$5,623.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $3,311.31	Professional		$2,089.30	$2,187.76	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $3,235.94	Professional		$2,137.96	$2,290.87	$3,235.94