Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $65.28 / $101.18	Facility		$40.79	$65.28	$101.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $51.82	Professional		$40.79	$40.79	$51.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $41.50 / $8,639.91	Facility		$35.28	$41.50	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $41.50 / $41.50	Professional		$41.50	$41.50	$41.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $62.83 / $101.18	Facility		$40.79	$62.83	$101.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $81.19	Professional		$40.79	$40.79	$81.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $69.05	Professional		$50.00	$50.00	$69.05