Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $18.51 / $30.60	Facility		$12.34	$18.51	$30.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $11.99 / $8,639.91	Facility		$10.19	$11.99	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $11.99 / $11.99	Professional		$11.99	$11.99	$11.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Facility		$12.34	$12.34	$12.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $18.51 / $30.60	Facility		$12.34	$18.51	$30.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $24.56	Professional		$12.34	$12.34	$24.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Facility		$12.34	$12.34	$12.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $15.79	Professional		$12.10	$12.10	$15.79