Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $86.24 / $126.55	Facility		$47.34	$86.24	$126.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $51.03	Professional		$47.34	$47.34	$51.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $70.38 / $8,639.91	Facility		$59.82	$70.38	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Professional		$70.38	$70.38	$70.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Facility		$47.34	$47.34	$47.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.03 / $78.59 / $126.55	Facility		$51.03	$78.59	$126.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $51.03 / $101.55	Professional		$47.34	$51.03	$101.55
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Facility		$47.34	$47.34	$47.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $64.84	Professional		$46.41	$46.41	$64.84