Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $5.78 / $8.94	Facility		$3.61	$5.78	$8.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $3.61	Professional		$3.61	$3.61	$3.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.53 / $8,639.91	Facility		$3.00	$3.53	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.53 / $3.53	Professional		$3.53	$3.53	$3.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Facility		$3.75	$3.75	$3.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $5.56 / $8.94	Facility		$3.61	$5.56	$8.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $7.18	Professional		$3.61	$3.61	$7.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Facility		$3.75	$3.75	$3.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $6.46	Professional		$3.75	$3.75	$6.46