Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $29.13 / $30.55	Facility		$29.13	$29.13	$30.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $27.19 / $36.19	Professional		$5.04	$27.19	$36.19
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 $5.97 / $5.97 / $5.97	Facility		$5.97	$5.97	$5.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.00 / $42.93	Professional		$19.00	$24.00	$42.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $29.13 / $30.55	Facility		$29.13	$29.13	$30.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $26.68 / $36.19	Professional		$5.17	$26.68	$36.19
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 $5.97 / $5.97 / $5.97	Facility		$5.97	$5.97	$5.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.00 / $42.93	Professional		$19.00	$24.00	$42.93
United Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $80.18 / $99.56	Facility		$60.47	$80.18	$99.56
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.57 / $26.32	Professional		$5.13	$8.57	$26.32