Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $5.62 / $7.30	Facility		$2.42	$5.62	$7.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.44 / $2.90	Professional		$2.42	$2.44	$2.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $2.62 / $8,639.91	Facility		$2.23	$2.62	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.42 / $2.42	Facility		$2.27	$2.42	$2.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.42 / $2.42	Professional		$2.42	$2.42	$2.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $4.78 / $7.30	Facility		$2.42	$4.78	$7.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.44 / $7.30	Professional		$2.42	$2.44	$7.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.42 / $2.42	Facility		$2.27	$2.42	$2.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.42 / $2.42	Professional		$2.42	$2.42	$2.42
United Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.42 / $3.16	Professional		$2.42	$2.42	$3.16