Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $221.01 / $342.56	Facility		$138.13	$221.01	$342.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $138.13 / $138.13	Professional		$138.13	$138.13	$138.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $234.91 / $276.36 / $8,639.91	Facility		$234.91	$276.36	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $276.36 / $276.36 / $276.36	Professional		$276.36	$276.36	$276.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $212.72 / $342.56	Facility		$138.13	$212.72	$342.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $138.13 / $274.88	Professional		$138.13	$138.13	$274.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $459.82	Professional		$332.96	$332.96	$459.82