Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.86 / $548.86 / $548.86	Professional		$548.86	$548.86	$548.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,386.40 / $3,984.00 / $8,639.91	Facility		$3,386.40	$3,984.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,984.00 / $3,984.00 / $3,984.00	Professional		$3,984.00	$3,984.00	$3,984.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $548.86 / $548.86 / $548.86	Professional		$548.86	$548.86	$548.86
United Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $6,000.00	Professional		$4,800.00	$4,800.00	$6,000.00