Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.48 / $0.77	Facility		$0.31	$0.48	$0.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.31 / $0.33	Professional		$0.28	$0.31	$0.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $10.22 / $8,459.92	Facility		$8.69	$10.22	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Professional		$6.71	$6.71	$6.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.31	Facility		$0.31	$0.31	$0.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $5.63	Professional		$0.31	$0.31	$5.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.17 / $0.20	Professional		$0.16	$0.17	$0.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.47 / $0.77	Facility		$0.31	$0.47	$0.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.62	Professional		$0.31	$0.31	$0.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.31	Facility		$0.31	$0.31	$0.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $7.03	Professional		$0.31	$0.31	$7.03
United Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.30 / $0.38	Professional		$0.12	$0.30	$0.38