Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $53.12 / $87.82	Facility		$35.40	$53.12	$87.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $44.01 / $8,639.91	Facility		$37.40	$44.01	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $44.01 / $44.01	Professional		$44.01	$44.01	$44.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $54.53 / $87.82	Facility		$35.40	$54.53	$87.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $70.47	Professional		$35.40	$35.40	$70.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $49.04	Professional		$34.72	$34.72	$49.04