Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $48.26 / $74.80	Facility		$30.16	$48.26	$74.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $30.16 / $30.16	Professional		$30.16	$30.16	$30.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.03 / $28.27 / $8,639.91	Facility		$24.03	$28.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $28.27 / $28.27	Professional		$28.27	$28.27	$28.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Facility		$30.08	$30.08	$30.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $46.45 / $74.80	Facility		$30.16	$46.45	$74.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $30.16 / $60.02	Professional		$30.16	$30.16	$60.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Facility		$30.08	$30.08	$30.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
United Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $51.84	Professional		$30.08	$30.08	$51.84