Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.88	Facility		$2.10	$2.10	$2.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.27 / $2.92	Professional		$1.87	$2.27	$2.92
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 $3.64 / $3.77 / $3.77	Professional		$3.64	$3.77	$3.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $5.56 / $5.56	Facility		$5.56	$5.56	$5.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.88	Facility		$2.10	$2.10	$2.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.27 / $2.92	Professional		$1.87	$2.27	$2.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Professional		$25.60	$25.60	$25.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $5.56 / $5.56	Facility		$5.56	$5.56	$5.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $2.20 / $4.38	Professional		$1.56	$2.20	$4.38