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 $15.66 / $15.66 / $18.80	Facility		$15.66	$15.66	$18.80
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $12.53	Professional		$12.53	$12.53	$12.53
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 $59.40 / $59.40 / $59.40	Professional		$59.40	$59.40	$59.40
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 $59.40 / $59.40 / $2,250.00	Professional		$59.40	$59.40	$2,250.00