Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.96 / $540.96 / $540.96	Facility		$540.96	$540.96	$540.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $540.96 / $677.60	Professional		$540.96	$540.96	$677.60
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 $346.38 / $359.45 / $359.45	Professional		$346.38	$359.45	$359.45
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 $920.40 / $920.40 / $920.40	Professional		$920.40	$920.40	$920.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.96 / $540.96 / $540.96	Facility		$540.96	$540.96	$540.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $540.96 / $677.60	Professional		$540.96	$540.96	$677.60
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 $920.40 / $920.40 / $920.40	Professional		$920.40	$920.40	$920.40
United Facility/Professional Professional Modifier Low / Median / High Price $747.40 / $747.40 / $747.40	Professional		$747.40	$747.40	$747.40