Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $23.51 / $34.50	Facility		$13.91	$23.51	$34.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $17.67	Professional		$13.91	$13.91	$17.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $28.33 / $8,639.91	Facility		$24.08	$28.33	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $28.33 / $28.33	Professional		$28.33	$28.33	$28.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Facility		$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $21.42 / $34.50	Facility		$13.91	$21.42	$34.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $35.89	Professional		$13.91	$13.91	$35.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Facility		$13.91	$13.91	$13.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $17.80	Professional		$13.64	$13.64	$17.80