Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.65 / $191.48 / $316.57	Facility		$127.65	$191.48	$316.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $127.65 / $127.65	Professional		$127.65	$127.65	$127.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $105.95 / $124.65 / $8,639.91	Facility		$105.95	$124.65	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $124.65 / $124.65	Professional		$124.65	$124.65	$124.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $127.65 / $196.58 / $316.57	Facility		$127.65	$196.58	$316.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $127.65 / $254.02	Professional		$127.65	$127.65	$254.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $172.83	Professional		$125.15	$125.15	$172.83