Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.59 / $4.01	Facility		$1.62	$2.59	$4.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.58 / $8,639.91	Facility		$1.34	$1.58	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Facility		$1.62	$1.62	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.49 / $4.01	Facility		$1.62	$2.49	$4.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $3.22	Professional		$1.62	$1.62	$3.22
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Facility		$1.62	$1.62	$1.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $2.89	Professional		$1.58	$1.58	$2.89