Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $31.90	Facility		$22.31	$22.31	$31.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $22.31 / $22.31	Professional		$21.00	$22.31	$22.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $47.35 / $55.71 / $8,459.92	Facility		$47.35	$55.71	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $58.64 / $58.64	Professional		$58.64	$58.64	$58.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Facility		$174.33	$174.33	$174.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $57.56	Facility		$22.31	$22.31	$57.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.31 / $54.88	Professional		$21.53	$22.31	$54.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Facility		$174.33	$174.33	$174.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
United Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $147.24 / $297.98	Professional		$114.07	$147.24	$297.98