Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $51.29	Facility		$30.20	$30.20	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.90 / $5,011.87	Facility		$26.30	$30.90	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $51.29	Facility		$30.20	$30.20	$51.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $37.15	Professional		$30.20	$30.20	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $45.71	Professional		$30.90	$37.15	$45.71