Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $156.44 / $258.66	Facility		$104.30	$156.44	$258.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $104.30 / $104.30	Professional		$104.30	$104.30	$104.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.61 / $112.48 / $8,639.91	Facility		$95.61	$112.48	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $112.48 / $112.48	Professional		$112.48	$112.48	$112.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $156.44 / $258.66	Facility		$104.30	$156.44	$258.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $104.30 / $207.56	Professional		$104.30	$104.30	$207.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $169.45	Professional		$122.70	$122.70	$169.45