Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $21.96	Facility		$17.29	$17.29	$21.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $17.29 / $17.29	Professional		$16.27	$17.29	$17.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Facility		$17.29	$17.29	$17.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $21.96	Facility		$17.29	$17.29	$21.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $17.29 / $17.29	Professional		$16.27	$17.29	$17.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Facility		$17.29	$17.29	$17.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29