Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $19.73 / $30.60	Facility		$12.34	$19.73	$30.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $35.76 / $8,639.91	Facility		$30.40	$35.76	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.07 / $15.07	Professional		$15.07	$15.07	$15.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $19.00 / $30.60	Facility		$12.34	$19.00	$30.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $24.56	Professional		$12.34	$12.34	$24.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
United Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $25.03	Professional		$14.52	$14.52	$25.03