Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.43 / $228.27 / $957.00	Facility		$157.43	$228.27	$957.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $199.69 / $268.77	Professional		$157.43	$199.69	$268.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $215.58 / $368.27	Facility		$147.22	$215.58	$368.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.88 / $1,064.88 / $1,064.88	Professional		$1,064.88	$1,064.88	$1,064.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $157.43 / $349.24 / $957.00	Facility		$157.43	$349.24	$957.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $154.12 / $190.84 / $275.00	Professional		$154.12	$190.84	$275.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $300.20 / $300.20	Professional		$300.20	$300.20	$300.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $215.58 / $368.27	Facility		$147.22	$215.58	$368.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.88 / $1,064.88 / $1,064.88	Professional		$1,064.88	$1,064.88	$1,064.88
United Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $237.61 / $406.45	Professional		$189.53	$237.61	$406.45