Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.61 / $3,830.00 / $8,240.00	Facility		$1,095.61	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.81 / $1,095.61 / $1,422.10	Professional		$738.81	$1,095.61	$1,422.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,339.50 / $1,339.50 / $1,339.50	Facility		$1,339.50	$1,339.50	$1,339.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,578.48 / $5,578.48 / $5,578.48	Professional		$5,578.48	$5,578.48	$5,578.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $738.81 / $1,162.89 / $2,843.00	Professional		$738.81	$1,162.89	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,339.50 / $1,339.50 / $1,339.50	Facility		$1,339.50	$1,339.50	$1,339.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,578.48 / $5,578.48 / $5,578.48	Professional		$5,578.48	$5,578.48	$5,578.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $7,000.00 / $22,992.86	Facility		$2,468.00	$7,000.00	$22,992.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,206.39 / $1,591.50 / $2,469.42	Professional		$1,206.39	$1,591.50	$2,469.42