Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $1,314.68 / $1,314.68	Facility		$585.04	$1,314.68	$1,314.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $585.04 / $603.50	Professional		$585.04	$585.04	$603.50
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 $1,585.18 / $1,645.00 / $1,645.00	Professional		$1,585.18	$1,645.00	$1,645.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.87 / $603.87 / $603.87	Facility		$603.87	$603.87	$603.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.73 / $1,000.73 / $1,000.73	Professional		$1,000.73	$1,000.73	$1,000.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $1,314.68 / $1,314.68	Facility		$585.04	$1,314.68	$1,314.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $585.04 / $585.04	Professional		$585.04	$585.04	$585.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $603.87 / $603.87 / $603.87	Facility		$603.87	$603.87	$603.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.73 / $1,000.73 / $1,000.73	Professional		$1,000.73	$1,000.73	$1,000.73
United Facility/Professional Professional Modifier Low / Median / High Price $683.77 / $683.77 / $683.77	Professional		$683.77	$683.77	$683.77