Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.42 / $1,511.13 / $2,498.40	Facility		$1,007.42	$1,511.13	$2,498.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,007.42 / $2,742.96	Professional		$1,007.42	$1,007.42	$2,742.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $836.16 / $983.72 / $8,639.91	Facility		$836.16	$983.72	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $983.72 / $983.72 / $983.72	Professional		$983.72	$983.72	$983.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Facility		$1,046.93	$1,046.93	$1,046.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,007.42 / $1,490.98 / $2,498.40	Facility		$1,007.42	$1,490.98	$2,498.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,007.42 / $2,599.14	Professional		$1,007.42	$1,007.42	$2,599.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Facility		$1,046.93	$1,046.93	$1,046.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,636.76	Professional		$1,185.20	$1,185.20	$1,636.76