Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.08 / $531.12 / $878.12	Facility		$354.08	$531.12	$878.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $354.08 / $354.08	Professional		$354.08	$354.08	$354.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,175.53 / $1,382.98 / $8,639.91	Facility		$1,175.53	$1,382.98	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,382.98 / $1,382.98 / $1,382.98	Professional		$1,382.98	$1,382.98	$1,382.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Facility		$367.96	$367.96	$367.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $354.08 / $531.12 / $878.12	Facility		$354.08	$531.12	$878.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $354.08 / $704.62	Professional		$354.08	$354.08	$704.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Facility		$367.96	$367.96	$367.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96
United Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $357.54 / $493.76	Professional		$357.54	$357.54	$493.76