Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Facility		$171.96	$171.96	$171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Professional		$171.96	$171.96	$171.96
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 $492.53 / $511.12 / $511.12	Professional		$492.53	$511.12	$511.12
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 $354.90 / $354.90 / $354.90	Professional		$354.90	$354.90	$354.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Facility		$171.96	$171.96	$171.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Professional		$171.96	$171.96	$171.96
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 $354.90 / $354.90 / $354.90	Professional		$354.90	$354.90	$354.90
United Facility/Professional Professional Modifier Low / Median / High Price $699.93 / $699.93 / $699.93	Professional		$699.93	$699.93	$699.93