Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $14.91 / $33.92	Facility		$9.94	$14.91	$33.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $10.45	Professional		$9.94	$9.94	$10.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $7.97 / $8,639.91	Facility		$6.77	$7.97	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $7.97	Professional		$7.97	$7.97	$7.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $14.91 / $33.92	Facility		$9.94	$14.91	$33.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $19.78	Professional		$9.94	$9.94	$19.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $13.76	Professional		$9.74	$9.74	$13.76