Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $2.52 / $3.28	Facility		$1.10	$2.52	$3.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $2.04	Professional		$1.10	$1.10	$2.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.55 / $8,639.91	Facility		$1.32	$1.55	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.55 / $1.55	Professional		$1.55	$1.55	$1.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Facility		$2.08	$2.08	$2.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Professional		$2.08	$2.08	$2.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.86 / $3.26	Facility		$1.10	$1.86	$3.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $2.52	Professional		$1.10	$1.10	$2.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Facility		$2.08	$2.08	$2.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Professional		$2.08	$2.08	$2.08
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.31	Professional		$2.40	$2.40	$3.31