Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $38.10	Facility		$30.00	$30.00	$38.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $36.26 / $36.26	Professional		$34.94	$36.26	$36.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $38.10	Facility		$30.00	$30.00	$38.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
United Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $188.65 / $188.65	Professional		$188.65	$188.65	$188.65