Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $67.81 / $105.10	Facility		$42.38	$67.81	$105.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $42.38	Professional		$42.38	$42.38	$42.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $43.88 / $8,639.91	Facility		$37.29	$43.88	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $43.88 / $43.88	Professional		$43.88	$43.88	$43.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $65.27 / $105.10	Facility		$42.38	$65.27	$105.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $84.34	Professional		$42.38	$42.38	$84.34
United Facility/Professional Facility Modifier Low / Median / High Price $909.58 / $909.58 / $909.58	Facility		$909.58	$909.58	$909.58
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $55.18	Professional		$42.28	$42.28	$55.18