Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $96.75	Facility		$25.00	$25.00	$96.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.39 / $37.00	Professional		$22.54	$23.39	$37.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $30.75	Professional		$7.65	$7.65	$30.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $96.75	Facility		$25.00	$25.00	$96.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $32.00	Professional		$7.65	$7.65	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $43.87 / $43.87	Professional		$43.87	$43.87	$43.87