Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.76 / $2.90	Facility		$1.17	$1.76	$2.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.17 / $1.26	Professional		$1.13	$1.17	$1.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $503.73 / $592.62 / $8,639.91	Facility		$503.73	$592.62	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $592.62 / $592.62 / $592.62	Professional		$592.62	$592.62	$592.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Facility		$1.17	$1.17	$1.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Professional		$1.17	$1.17	$1.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.76 / $2.90	Facility		$1.17	$1.76	$2.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.17 / $2.33	Professional		$1.13	$1.17	$2.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Facility		$1.17	$1.17	$1.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Professional		$1.17	$1.17	$1.17
United Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $2.10	Professional		$1.14	$1.14	$2.10