Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $415.55 / $687.03	Facility		$277.02	$415.55	$687.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $229.93 / $270.51 / $8,639.91	Facility		$229.93	$270.51	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $256.98 / $270.51 / $270.51	Professional		$256.98	$270.51	$270.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $415.55 / $687.03	Facility		$277.02	$415.55	$687.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $551.29	Professional		$277.02	$277.02	$551.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $383.59	Professional		$271.60	$271.60	$383.59