Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.42 / $1,319.27 / $1,713.92	Facility		$569.42	$1,319.27	$1,713.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.42 / $578.69 / $682.19	Professional		$569.42	$578.69	$682.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $528.37 / $621.61 / $8,639.91	Facility		$528.37	$621.61	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $594.58 / $594.58 / $594.58	Professional		$594.58	$594.58	$594.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $572.96 / $572.96	Facility		$540.53	$572.96	$572.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $569.42 / $1,121.94 / $1,713.92	Facility		$569.42	$1,121.94	$1,713.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $569.42 / $578.69 / $1,713.92	Professional		$569.42	$578.69	$1,713.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $572.96 / $572.96	Facility		$540.53	$572.96	$572.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $960.32	Professional		$572.96	$572.96	$960.32