Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.24 / $3.47	Facility		$1.23	$2.24	$3.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.48	Professional		$1.00	$1.00	$1.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $15.14	Professional		$7.94	$7.94	$15.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.28 / $5,011.87	Facility		$0.25	$0.28	$5,011.87
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 / $1.95 / $3.16	Facility		$1.23	$1.95	$3.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.15 / $2.45	Professional		$1.00	$1.15	$2.45
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.07 / $0.17	Facility		$0.02	$0.07	$0.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.26 / $0.37	Professional		$0.10	$0.26	$0.37