Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $75.73	Facility		$19.57	$19.57	$75.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $24.91	Professional		$19.57	$19.57	$24.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $23.72	Professional		$17.32	$17.32	$23.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $75.73	Facility		$19.57	$19.57	$75.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $24.94	Professional		$19.57	$19.57	$24.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $23.72	Professional		$17.32	$17.32	$23.72
United Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Professional		$50.90	$50.90	$50.90