Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $166.91 / $588.75	Facility		$71.33	$166.91	$588.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $151.63	Professional		$71.33	$71.33	$151.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $351.59 / $8,639.91	Facility		$298.85	$351.59	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $351.59 / $351.59 / $351.59	Professional		$351.59	$351.59	$351.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $166.91 / $588.75	Facility		$71.33	$166.91	$588.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $380.97	Professional		$71.33	$71.33	$380.97
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $98.83	Professional		$46.67	$46.67	$98.83