Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $31.47	Facility		$18.62	$18.62	$31.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $17.69 / $8,639.91	Facility		$15.04	$17.69	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Professional		$17.69	$17.69	$17.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Facility		$17.52	$17.52	$17.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Professional		$17.52	$17.52	$17.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $31.47	Facility		$18.62	$18.62	$31.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $21.41	Professional		$18.62	$18.62	$21.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Facility		$17.52	$17.52	$17.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Professional		$17.52	$17.52	$17.52
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $34.07	Professional		$18.62	$18.62	$34.07