Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $4.84 / $4.84	Facility		$4.84	$4.84	$4.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $3.03 / $3.03	Professional		$3.03	$3.03	$3.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.96 / $8,639.91	Facility		$2.52	$2.96	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $2.96	Professional		$2.96	$2.96	$2.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $4.84 / $4.84	Facility		$4.84	$4.84	$4.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $3.03	Professional		$2.86	$2.86	$3.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $6.15	Professional		$3.57	$3.57	$6.15