Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $35.76 / $135.31	Facility		$10.58	$35.76	$135.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $16.47 / $86.90	Professional		$10.58	$16.47	$86.90
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 $81.92 / $85.01 / $85.01	Professional		$81.92	$85.01	$85.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $67.08 / $144.05	Facility		$35.36	$67.08	$144.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $23.75	Professional		$19.00	$19.00	$23.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $30.58 / $126.39	Facility		$11.64	$30.58	$126.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $95.70	Professional		$10.58	$20.00	$95.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $85.90 / $144.05	Facility		$35.90	$85.90	$144.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $23.75	Professional		$19.00	$19.00	$23.75