Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $34.26 / $89.55	Facility		$33.92	$34.26	$89.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $34.26	Professional		$33.92	$33.92	$34.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $33.92 / $50.88	Facility		$28.83	$33.92	$50.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $45.93	Professional		$33.92	$33.92	$45.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $34.26 / $89.55	Facility		$33.92	$34.26	$89.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $40.77	Professional		$33.92	$33.92	$40.77
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $33.92 / $33.92	Facility		$32.00	$33.92	$33.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $35.20	Professional		$33.92	$33.92	$35.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $33.92 / $46.53	Professional		$32.33	$33.92	$46.53