Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $49.45 / $61.63	Facility		$21.54	$49.45	$61.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $21.54 / $40.07	Professional		$21.54	$21.54	$40.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $39.13 / $8,639.91	Facility		$33.26	$39.13	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $39.13 / $39.13	Professional		$39.13	$39.13	$39.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Facility		$41.64	$41.64	$41.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $36.40 / $64.11	Facility		$21.54	$36.40	$64.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $21.54 / $49.45	Professional		$21.54	$21.54	$49.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Facility		$41.64	$41.64	$41.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $65.09	Professional		$47.14	$47.14	$65.09