Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $107.97 / $178.51	Facility		$71.98	$107.97	$178.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $71.98	Professional		$71.98	$71.98	$71.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $59.75 / $70.29 / $8,639.91	Facility		$59.75	$70.29	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $70.28 / $70.28	Professional		$70.28	$70.28	$70.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Facility		$60.25	$60.25	$60.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $110.85 / $178.51	Facility		$71.98	$110.85	$178.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $143.24	Professional		$71.98	$71.98	$143.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Facility		$60.25	$60.25	$60.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $92.09	Professional		$70.56	$70.56	$92.09