Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $34.46 / $56.97	Facility		$15.16	$34.46	$56.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $9.93 / $8,639.91	Facility		$8.44	$9.93	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Professional		$9.93	$9.93	$9.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Facility		$22.97	$22.97	$22.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $34.46 / $59.26	Facility		$22.97	$34.46	$59.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.97 / $59.26	Professional		$22.16	$22.97	$59.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Facility		$22.97	$22.97	$22.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $31.10	Professional		$22.52	$22.52	$31.10