Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $691.83 / $1,047.13	Facility		$371.54	$691.83	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $436.52	Professional		$354.81	$371.54	$436.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $5,011.87	Facility		$323.59	$380.19	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $977.24	Facility		$371.54	$562.34	$977.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $562.34	Professional		$354.81	$371.54	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $562.34	Professional		$371.54	$407.38	$562.34