Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.89 / $3.05	Facility		$1.23	$1.89	$3.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.23 / $9.60	Professional		$1.19	$1.23	$9.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.28 / $8,639.91	Facility		$0.25	$0.28	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.85 / $3.05	Facility		$1.23	$1.85	$3.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.23 / $4.74	Professional		$1.19	$1.23	$4.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.17 / $0.31	Professional		$0.07	$0.17	$0.31