Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $87.46 / $87.46 / $104.96	Facility		$87.46	$87.46	$104.96
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $69.97 / $69.97	Professional		$69.97	$69.97	$69.97
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 $38.47 / $38.47 / $38.47	Professional		$38.47	$38.47	$38.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
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 $38.47 / $38.47 / $85.00	Professional		$38.47	$38.47	$85.00