Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.02 / $284.64 / $515.77	Facility		$124.02	$284.64	$515.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $124.02 / $549.01	Professional		$124.02	$124.02	$549.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $503.26 / $592.07 / $8,639.91	Facility		$503.26	$592.07	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $592.07 / $592.07 / $592.07	Professional		$592.07	$592.07	$592.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Professional		$570.54	$570.54	$570.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $124.02 / $209.59 / $369.04	Facility		$124.02	$209.59	$369.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $124.02 / $369.04	Professional		$124.02	$124.02	$369.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Professional		$570.54	$570.54	$570.54
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $842.89	Professional		$645.89	$645.89	$842.89