Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $27.58 / $72.09	Facility		$26.62	$27.58	$72.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.89 / $26.89	Professional		$26.62	$26.89	$26.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $26.62 / $8,639.91	Facility		$22.63	$26.62	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $26.62 / $26.62	Facility		$25.12	$26.62	$26.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $27.58 / $72.09	Facility		$26.62	$27.58	$72.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.89 / $27.58	Professional		$26.62	$26.89	$27.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $26.62 / $26.62	Facility		$25.12	$26.62	$26.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $36.76	Professional		$26.62	$26.62	$36.76