Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $41.46 / $68.55	Facility		$27.64	$41.46	$68.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $26.72 / $8,639.91	Facility		$22.71	$26.72	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $26.72 / $26.72	Professional		$25.65	$26.72	$26.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Facility		$27.64	$27.64	$27.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $41.46 / $68.55	Facility		$27.64	$41.46	$68.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $55.00	Professional		$27.64	$27.64	$55.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Facility		$27.64	$27.64	$27.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $37.43	Professional		$27.10	$27.10	$37.43