Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $24.61	Facility		$19.38	$19.38	$24.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $19.38 / $19.38	Professional		$18.23	$19.38	$19.38
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 $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $24.61	Facility		$19.38	$19.38	$24.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $19.38 / $19.38	Professional		$18.23	$19.38	$19.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38