Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $10.07 / $16.64	Facility		$6.71	$10.07	$16.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $6.81	Professional		$6.71	$6.71	$6.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.98 / $8,459.92	Facility		$0.83	$0.98	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $0.98 / $0.98	Professional		$0.98	$0.98	$0.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Facility		$6.71	$6.71	$6.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $6.71 / $6.71	Professional		$0.94	$6.71	$6.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.94 / $1.18	Professional		$0.57	$0.94	$1.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $9.93 / $16.64	Facility		$6.71	$9.93	$16.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $17.30	Professional		$6.71	$6.71	$17.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Facility		$6.71	$6.71	$6.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $6.71 / $6.71	Professional		$0.75	$6.71	$6.71
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $6.58 / $9.09	Professional		$2.63	$6.58	$9.09