Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Facility		$2.50	$2.50	$2.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $10.76 / $10.76	Professional		$10.37	$10.76	$10.76
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 $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Facility		$2.50	$2.50	$2.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $40.63 / $43.91	Professional		$40.63	$40.63	$43.91
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 $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00