Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $308.72 / $308.72	Facility		$308.72	$308.72	$308.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $569.27	Professional		$308.72	$308.72	$569.27
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 $1,526.40 / $1,584.00 / $1,584.00	Professional		$1,526.40	$1,584.00	$1,584.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.52 / $515.52 / $515.52	Facility		$515.52	$515.52	$515.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.84 / $604.84 / $604.84	Professional		$604.84	$604.84	$604.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $308.72 / $308.72	Facility		$308.72	$308.72	$308.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $463.69	Professional		$308.72	$308.72	$463.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $515.52 / $515.52 / $515.52	Facility		$515.52	$515.52	$515.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $604.84 / $604.84 / $604.84	Professional		$604.84	$604.84	$604.84
United Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $636.29 / $636.29	Professional		$636.29	$636.29	$636.29