Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $0.84 / $1.15	Facility		$0.84	$0.84	$1.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.91 / $24.50	Professional		$0.75	$0.91	$24.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $1.15 / $1.30	Facility		$0.84	$1.15	$1.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.99 / $24.50	Professional		$0.75	$0.99	$24.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
United Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $307.76	Professional		$235.83	$235.83	$307.76