Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $12.27 / $20.56	Facility		$5.79	$12.27	$20.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $8.89	Professional		$8.28	$8.28	$8.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $8.09 / $8,639.91	Facility		$6.88	$8.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $8.09	Professional		$8.09	$8.09	$8.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Facility		$8.28	$8.28	$8.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Professional		$8.28	$8.28	$8.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $12.44 / $21.39	Facility		$8.28	$12.44	$21.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.28 / $16.50	Professional		$8.00	$8.28	$16.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Facility		$8.28	$8.28	$8.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Professional		$8.28	$8.28	$8.28
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $11.23	Professional		$8.13	$8.13	$11.23