Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $14.56 / $30.55	Facility		$14.56	$14.56	$30.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $18.07 / $138.74	Professional		$14.22	$18.07	$138.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Facility		$140.55	$140.55	$140.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.00 / $42.53	Professional		$19.00	$24.00	$42.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $17.38 / $30.55	Facility		$14.56	$17.38	$30.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $17.38 / $126.15	Professional		$13.42	$17.38	$126.15
Optum Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $26.32 / $30.03	Professional		$23.82	$26.32	$30.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $23.82 / $29.27	Professional		$23.82	$23.82	$29.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Facility		$140.55	$140.55	$140.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.00 / $42.53	Professional		$19.00	$24.00	$42.53
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $128.01 / $243.94	Professional		$23.82	$128.01	$243.94