Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $183.53 / $238.43	Facility		$78.93	$183.53	$238.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $79.72 / $94.90	Professional		$78.93	$79.72	$94.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $72.79 / $85.64 / $107.05	Facility		$72.79	$85.64	$107.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $81.91 / $81.91	Professional		$81.91	$81.91	$81.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $78.93 / $78.93	Facility		$74.47	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.22 / $183.53 / $238.43	Facility		$79.22	$183.53	$238.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $79.72 / $238.43	Professional		$78.93	$79.72	$238.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $78.93 / $78.93	Facility		$74.47	$78.93	$78.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $103.00	Professional		$78.93	$78.93	$103.00