Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $30.44 / $38.65	Facility		$30.44	$30.44	$38.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.44 / $33.47	Professional		$30.44	$30.44	$33.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $29.72 / $8,639.91	Facility		$25.26	$29.72	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $29.72 / $29.72	Professional		$29.72	$29.72	$29.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Facility		$33.42	$33.42	$33.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $30.44 / $51.44	Facility		$30.44	$30.44	$51.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.44 / $35.00	Professional		$30.44	$30.44	$35.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Facility		$33.42	$33.42	$33.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
United Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $35.81 / $50.20	Professional		$30.74	$35.81	$50.20