Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $40.11 / $40.11	Professional		$37.76	$40.11	$40.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.22 / $6.22	Professional		$5.29	$6.22	$6.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $40.11 / $40.11	Professional		$37.76	$40.11	$40.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $49.16	Professional		$39.33	$39.33	$49.16