Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.19 / $28.01	Facility		$10.09	$10.19	$28.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.19	Professional		$10.09	$10.09	$10.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $10.95 / $8,639.91	Facility		$9.35	$10.95	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Facility		$10.09	$10.09	$10.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.95	Professional		$10.09	$10.09	$10.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.47 / $12.89	Professional		$10.00	$10.47	$12.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.72 / $28.01	Facility		$10.09	$10.72	$28.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.72	Professional		$10.09	$10.09	$10.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $10.09 / $10.09	Facility		$9.52	$10.09	$10.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $12.85	Professional		$10.09	$10.09	$12.85
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $17.39	Professional		$10.09	$10.09	$17.39