Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $7.56 / $10.40	Facility		$7.56	$7.56	$10.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $8.19 / $10.65	Professional		$6.45	$8.19	$10.65
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 $13.44 / $13.95 / $13.95	Professional		$13.44	$13.95	$13.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Professional		$9.90	$9.90	$9.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $7.56 / $10.40	Facility		$7.56	$7.56	$10.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $8.19 / $10.65	Professional		$6.45	$8.19	$10.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $41.60 / $41.60	Professional		$41.60	$41.60	$41.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Professional		$9.90	$9.90	$9.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.02 / $15.99	Professional		$6.46	$8.02	$15.99