Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $617.41	Facility		$617.41	$617.41	$617.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $617.41 / $617.41	Professional		$617.41	$617.41	$617.41
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 $521.13 / $540.79 / $540.79	Professional		$521.13	$540.79	$540.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.63 / $744.63 / $744.63	Professional		$744.63	$744.63	$744.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $617.41	Facility		$617.41	$617.41	$617.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $617.41 / $617.41	Professional		$617.41	$617.41	$617.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $744.63 / $744.63 / $744.63	Professional		$744.63	$744.63	$744.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.70 / $1,080.70 / $1,080.70	Professional		$1,080.70	$1,080.70	$1,080.70