Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.58 / $674.37 / $1,114.96	Facility		$449.58	$674.37	$1,114.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.58 / $449.58 / $449.58	Professional		$449.58	$449.58	$449.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $376.57 / $443.02 / $8,639.91	Facility		$376.57	$443.02	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $443.02 / $443.02 / $443.02	Professional		$443.02	$443.02	$443.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $449.58 / $692.35 / $1,114.96	Facility		$449.58	$692.35	$1,114.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $449.58 / $449.58 / $894.66	Professional		$449.58	$449.58	$894.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $560.66 / $747.39	Professional		$528.91	$560.66	$747.39