Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $31.00 / $31.00	Professional		$29.87	$31.00	$31.00
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 $16.44 / $16.44 / $16.44	Professional		$16.44	$16.44	$16.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
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 $16.44 / $16.44 / $460.00	Professional		$16.44	$16.44	$460.00