Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $833.14 / $1,291.35	Facility		$520.71	$833.14	$1,291.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $432.19 / $508.46 / $8,639.91	Facility		$432.19	$508.46	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $483.04 / $508.46 / $508.46	Professional		$483.04	$508.46	$508.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Facility		$520.71	$520.71	$520.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $801.89 / $1,291.35	Facility		$520.71	$801.89	$1,291.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $1,036.21	Professional		$520.71	$520.71	$1,036.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Facility		$520.71	$520.71	$520.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $721.00	Professional		$510.50	$510.50	$721.00