Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $6.18 / $11.79	Facility		$4.84	$6.18	$11.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.84 / $4.84	Professional		$4.73	$4.84	$4.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.22 / $8,639.91	Facility		$0.19	$0.22	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Facility		$5.24	$5.24	$5.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $7.28 / $12.03	Facility		$4.84	$7.28	$12.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.84 / $9.65	Professional		$4.73	$4.84	$9.65
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Facility		$5.24	$5.24	$5.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
United Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $7.24	Professional		$5.24	$5.24	$7.24