Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.64 / $10.62 / $17.13	Facility		$6.64	$10.62	$17.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $6.64 / $7.12	Professional		$6.64	$6.64	$7.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $5.11 / $8,459.92	Facility		$4.34	$5.11	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Facility		$4.82	$4.82	$4.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $4.82 / $4.82	Professional		$0.47	$4.82	$4.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.64 / $10.23 / $18.53	Facility		$6.64	$10.23	$18.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $6.64 / $13.21	Professional		$6.64	$6.64	$13.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Facility		$4.82	$4.82	$4.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $4.82 / $4.82	Professional		$0.38	$4.82	$4.82
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Professional		$0.02	$0.02	$0.04