Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $76.81 / $168.77	Facility		$22.08	$76.81	$168.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $60.49 / $69.77	Professional		$13.60	$60.49	$69.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $14.53 / $8,639.91	Facility		$12.35	$14.53	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $14.53 / $14.53	Professional		$14.53	$14.53	$14.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $90.74 / $173.03	Facility		$60.49	$90.74	$173.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $60.49 / $138.84	Professional		$55.27	$60.49	$138.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $16.00 / $22.10	Professional		$15.20	$16.00	$22.10