Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $199.39	Facility		$157.00	$157.00	$199.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $199.39	Professional		$157.00	$157.00	$199.39
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 $1.89 / $1.96 / $1.96	Professional		$1.89	$1.96	$1.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $199.39	Facility		$157.00	$157.00	$199.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $199.39	Professional		$157.00	$157.00	$199.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99