Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $1.68 / $2.31	Facility		$1.68	$1.68	$2.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.82 / $2.34	Professional		$1.43	$1.82	$2.34
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 $2.90 / $3.01 / $3.01	Professional		$2.90	$3.01	$3.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $3.87	Facility		$3.87	$3.87	$3.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Professional		$34.00	$34.00	$34.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $1.68 / $2.31	Facility		$1.68	$1.68	$2.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.82 / $2.31	Professional		$1.43	$1.82	$2.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $56.80 / $56.80	Professional		$56.80	$56.80	$56.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $3.87	Facility		$3.87	$3.87	$3.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Professional		$34.00	$34.00	$34.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.77 / $3.64	Professional		$1.43	$1.77	$3.64