Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $20.17 / $55.04	Facility		$19.97	$20.17	$55.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $20.17	Professional		$19.97	$19.97	$20.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $19.97 / $8,639.91	Facility		$17.05	$19.97	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $20.72	Professional		$19.97	$19.97	$20.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $19.97 / $27.04	Professional		$16.97	$19.97	$27.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $21.05 / $55.04	Facility		$19.97	$21.05	$55.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $21.05	Professional		$19.97	$19.97	$21.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $19.97 / $19.97	Facility		$18.84	$19.97	$19.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $23.21	Professional		$19.97	$19.97	$23.21
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $31.25	Professional		$19.97	$19.97	$31.25