Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $146.74	Facility		$146.74	$146.74	$146.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $146.74 / $192.67	Professional		$146.74	$146.74	$192.67
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 $159.66 / $165.70 / $165.70	Professional		$159.66	$165.70	$165.70
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 $259.57 / $259.57 / $259.57	Professional		$259.57	$259.57	$259.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $146.74	Facility		$146.74	$146.74	$146.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $146.74 / $146.74	Professional		$146.74	$146.74	$146.74
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 $259.57 / $259.57 / $259.57	Professional		$259.57	$259.57	$259.57
United Facility/Professional Professional Modifier Low / Median / High Price $249.47 / $249.47 / $249.47	Professional		$249.47	$249.47	$249.47