Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.89 / $129.51	Facility		$10.00	$16.89	$129.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $10.00 / $10.73	Professional		$6.10	$10.00	$10.73
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $5.01 / $8,639.91	Facility		$4.26	$5.01	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.40 / $129.51	Facility		$10.00	$15.40	$129.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $10.00 / $19.89	Professional		$9.41	$10.00	$19.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $9.80 / $16.89	Professional		$9.80	$9.80	$16.89