Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.31 / $1.66	Facility		$1.31	$1.31	$1.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $1.66	Professional		$1.31	$1.31	$1.66
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 $23.67 / $24.56 / $24.56	Professional		$23.67	$24.56	$24.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.31 / $1.66	Facility		$1.31	$1.31	$1.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $1.66	Professional		$1.31	$1.31	$1.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $104.00 / $104.00	Professional		$104.00	$104.00	$104.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $3.29 / $3.29	Professional		$3.29	$3.29	$3.29