Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $17.86 / $22.68	Facility		$17.86	$17.86	$22.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $17.86 / $17.86	Professional		$17.86	$17.86	$17.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $18.96 / $8,459.92	Facility		$16.12	$18.96	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $19.96 / $19.96	Professional		$19.96	$19.96	$19.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $20.27 / $24.29	Professional		$15.25	$20.27	$24.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $17.86 / $20.14	Professional		$17.86	$17.86	$20.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $17.86 / $25.54	Facility		$17.86	$17.86	$25.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.86 / $22.68	Professional		$17.44	$17.86	$22.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $20.27 / $24.29	Professional		$15.25	$20.27	$24.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $27.42	Professional		$21.01	$21.01	$27.42