Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $562.47 / $929.95	Facility		$374.98	$562.47	$929.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $311.23 / $366.15 / $8,639.91	Facility		$311.23	$366.15	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $366.15 / $366.15 / $366.15	Professional		$366.15	$366.15	$366.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $562.47 / $929.95	Facility		$374.98	$562.47	$929.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $746.21	Professional		$374.98	$374.98	$746.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $507.70	Professional		$367.63	$367.63	$507.70