Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $26.93 / $85.79	Facility		$22.11	$26.93	$85.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $18.57 / $23.56	Professional		$9.74	$18.57	$23.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $107.43	Professional		$48.34	$48.34	$107.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $37.51 / $87.33	Facility		$22.11	$37.51	$87.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $18.57 / $25.65	Professional		$9.88	$18.57	$25.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $13.60 / $13.60	Professional		$13.60	$13.60	$13.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $48.34	Professional		$48.34	$48.34	$48.34
United Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $10.33 / $17.94	Professional		$6.97	$10.33	$17.94