Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.76 / $297.10 / $502.41	Facility		$249.76	$297.10	$502.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.76 / $309.47 / $397.85	Professional		$249.76	$309.47	$397.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.89 / $360.89 / $1,206.55	Facility		$360.89	$360.89	$1,206.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.02 / $273.73 / $1,509.19	Professional		$238.02	$273.73	$1,509.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $357.16 / $502.41	Facility		$200.00	$357.16	$502.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $306.30 / $372.22	Professional		$200.00	$306.30	$372.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $425.50 / $425.50 / $425.50	Professional		$425.50	$425.50	$425.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $360.89 / $360.89 / $1,005.46	Facility		$360.89	$360.89	$1,005.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $238.02 / $273.73 / $1,509.19	Professional		$238.02	$273.73	$1,509.19
United Facility/Professional Professional Modifier Low / Median / High Price $301.01 / $384.29 / $648.84	Professional		$301.01	$384.29	$648.84