Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $4.45 / $8,459.92	Facility		$3.78	$4.45	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $4.45	Professional		$4.45	$4.45	$4.45
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.27 / $0.49	Professional		$0.11	$0.27	$0.49