Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $86.30 / $142.66	Facility		$57.53	$86.30	$142.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $47.74 / $56.17 / $8,639.91	Facility		$47.74	$56.17	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $56.17 / $56.17	Professional		$56.17	$56.17	$56.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $86.30 / $142.66	Facility		$57.53	$86.30	$142.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $114.49	Professional		$57.53	$57.53	$114.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $77.89	Professional		$56.40	$56.40	$77.89