Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.72 / $828.49 / $842.22	Facility		$704.72	$828.49	$842.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.45 / $440.45 / $828.49	Professional		$440.45	$440.45	$828.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $403.75 / $475.00 / $8,639.91	Facility		$403.75	$475.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $475.00 / $475.00	Professional		$475.00	$475.00	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Facility		$457.73	$457.73	$457.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Professional		$457.73	$457.73	$457.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $704.72 / $704.72 / $704.72	Facility		$704.72	$704.72	$704.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $414.54 / $414.54 / $440.45	Professional		$414.54	$414.54	$440.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Facility		$457.73	$457.73	$457.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Professional		$457.73	$457.73	$457.73
United Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $518.17 / $676.22	Professional		$518.17	$518.17	$676.22