Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $3.96 / $6.55	Facility		$2.64	$3.96	$6.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Professional		$2.64	$2.64	$2.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $2.57 / $8,639.91	Facility		$2.18	$2.57	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Facility		$2.64	$2.64	$2.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Professional		$2.64	$2.64	$2.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $3.96 / $6.55	Facility		$2.64	$3.96	$6.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $5.25	Professional		$2.64	$2.64	$5.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Facility		$2.64	$2.64	$2.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Professional		$2.64	$2.64	$2.64
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $3.66	Professional		$2.59	$2.59	$3.66