Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $973.77	Facility		$973.77	$973.77	$973.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $1,194.00	Professional		$973.77	$973.77	$1,194.00
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 $118.36 / $118.36 / $118.36	Professional		$118.36	$118.36	$118.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.74 / $644.74 / $644.74	Facility		$644.74	$644.74	$644.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $175.99 / $2,264.25	Professional		$175.99	$175.99	$2,264.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $973.77	Facility		$973.77	$973.77	$973.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $973.77	Professional		$973.77	$973.77	$973.77
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $644.74 / $644.74 / $644.74	Facility		$644.74	$644.74	$644.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $175.99 / $175.99	Professional		$175.99	$175.99	$175.99