Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Facility		$20.83	$20.83	$20.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $29.28	Professional		$20.83	$20.83	$29.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $77.58 / $77.58	Professional		$74.76	$77.58	$77.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $75.00	Facility		$65.00	$65.00	$75.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Facility		$20.83	$20.83	$20.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $29.28	Professional		$20.83	$20.83	$29.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $75.00	Facility		$65.00	$65.00	$75.00