Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $106.19	Professional		$58.28	$58.28	$106.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $175.38 / $182.00 / $182.00	Professional		$175.38	$182.00	$182.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $114.90	Professional		$114.90	$114.90	$114.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $99.45	Professional		$58.28	$58.28	$99.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $114.90	Professional		$114.90	$114.90	$114.90
United Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $137.36 / $137.36	Professional		$137.36	$137.36	$137.36