Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $19.34 / $2,296.12	Facility		$12.89	$19.34	$2,296.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $12.58 / $8,639.91	Facility		$10.69	$12.58	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Professional		$12.58	$12.58	$12.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Facility		$12.89	$12.89	$12.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $19.34 / $35.96	Facility		$12.89	$19.34	$35.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $25.65	Professional		$12.89	$12.89	$25.65
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Facility		$12.89	$12.89	$12.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $17.17	Professional		$12.43	$12.43	$17.17