Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $229.63	Facility		$229.63	$229.63	$229.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $229.63 / $497.70	Professional		$229.63	$229.63	$497.70
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 $504.49 / $523.53 / $523.53	Professional		$504.49	$523.53	$523.53
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 $549.90 / $549.90 / $549.90	Professional		$549.90	$549.90	$549.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $229.63	Facility		$229.63	$229.63	$229.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $229.63 / $229.63	Professional		$229.63	$229.63	$229.63
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 $549.90 / $549.90 / $549.90	Professional		$549.90	$549.90	$549.90
United Facility/Professional Professional Modifier Low / Median / High Price $711.04 / $711.04 / $711.04	Professional		$711.04	$711.04	$711.04