Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $42.82 / $55.63	Facility		$18.01	$42.82	$55.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $22.14 / $4,731.05	Professional		$18.01	$22.14	$4,731.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $19.54 / $24.43	Facility		$16.61	$19.54	$24.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $18.69 / $18.69	Professional		$18.69	$18.69	$18.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.01 / $18.01	Facility		$16.98	$18.01	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $42.82 / $55.63	Facility		$18.48	$42.82	$55.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $22.14 / $4,200.00	Professional		$18.01	$22.14	$4,200.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.01 / $18.01	Facility		$16.98	$18.01	$18.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $25.44	Professional		$18.01	$18.01	$25.44