Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $3,913.44 / $7,642.00	Facility		$2,415.00	$3,913.44	$7,642.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,319.83 / $2,729.21 / $8,639.91	Facility		$2,319.83	$2,729.21	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,729.21 / $2,729.21 / $2,729.21	Professional		$2,729.21	$2,729.21	$2,729.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Facility		$3,081.45	$3,081.45	$3,081.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $4,560.55 / $7,642.00	Facility		$3,081.45	$4,560.55	$7,642.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $6,132.09	Professional		$3,081.45	$3,081.45	$6,132.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Facility		$3,081.45	$3,081.45	$3,081.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $4,266.74	Professional		$3,021.04	$3,021.04	$4,266.74