Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $154.80	Facility		$40.00	$40.00	$154.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $318.70 / $318.70 / $318.70	Professional		$318.70	$318.70	$318.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $154.80	Facility		$40.00	$40.00	$154.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.05 / $1,009.05 / $1,009.05	Professional		$1,009.05	$1,009.05	$1,009.05