Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $73.83 / $95.91	Facility		$32.22	$73.83	$95.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.54 / $64.70	Professional		$32.22	$32.54	$64.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $34.95 / $8,639.91	Facility		$29.71	$34.95	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $33.43 / $33.43	Professional		$33.43	$33.43	$33.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $32.22 / $32.22	Facility		$30.39	$32.22	$32.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $73.83 / $95.91	Facility		$31.87	$73.83	$95.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $35.24 / $95.91	Professional		$31.87	$35.24	$95.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $32.22 / $32.22	Facility		$30.39	$32.22	$32.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $56.92	Professional		$32.22	$32.22	$56.92