Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $13.97 / $23.09	Facility		$9.31	$13.97	$23.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.31 / $24.58	Professional		$9.31	$9.31	$24.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $7.73 / $9.09 / $8,639.91	Facility		$7.73	$9.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.09 / $9.09	Professional		$9.09	$9.09	$9.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $9.31 / $9.31	Facility		$9.31	$9.31	$9.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.31 / $9.31	Professional		$9.31	$9.31	$9.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $13.97 / $23.09	Facility		$9.31	$13.97	$23.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.31 / $24.02	Professional		$9.31	$9.31	$24.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $9.31 / $9.31	Facility		$9.31	$9.31	$9.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.31 / $9.31	Professional		$9.31	$9.31	$9.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $15.12	Professional		$10.95	$10.95	$15.12