Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $7,998.44 / $11,469.50	Facility		$3,817.28	$7,998.44	$11,469.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,855.45 / $4,839.43	Professional		$3,817.28	$3,855.45	$4,839.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,520.18 / $4,141.39 / $8,639.91	Facility		$3,520.18	$4,141.39	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,961.33 / $3,961.33 / $3,961.33	Professional		$3,961.33	$3,961.33	$3,961.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,817.28 / $3,817.28	Facility		$3,601.20	$3,817.28	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,810.58 / $6,439.88 / $11,469.50	Facility		$3,810.58	$6,439.88	$11,469.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,810.58 / $3,855.45 / $11,469.50	Professional		$3,810.58	$3,855.45	$11,469.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,817.28 / $3,817.28	Facility		$3,601.20	$3,817.28	$3,817.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,046.32 / $5,393.97	Professional		$3,817.28	$4,046.32	$5,393.97