Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $9.85 / $39,520.46	Facility		$4.21	$9.85	$39,520.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $4.11 / $8,639.91	Facility		$3.49	$4.11	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $4.11 / $4.11	Professional		$4.11	$4.11	$4.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.32 / $10.44	Facility		$4.21	$6.32	$10.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.21 / $6.32	Professional		$4.05	$4.21	$6.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
United Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Facility		$4.95	$4.95	$4.95
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $5.70	Professional		$4.13	$4.13	$5.70