Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.68 / $89.63 / $204.99	Facility		$57.68	$89.63	$204.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $53.32 / $130.78	Professional		$35.27	$53.32	$130.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $89.63 / $210.61	Facility		$53.32	$89.63	$210.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $53.32 / $130.78	Professional		$44.37	$53.32	$130.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
United Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $71.15 / $112.59	Professional		$45.75	$71.15	$112.59