Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,748.00 / $8,017.00	Facility		$832.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.08 / $851.60 / $1,034.18	Professional		$554.08	$851.60	$1,034.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,235.59 / $2,458.16	Facility		$500.00	$1,235.59	$2,458.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,328.07 / $4,328.07 / $4,328.07	Professional		$4,328.07	$4,328.07	$4,328.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $542.03 / $851.60 / $2,443.00	Professional		$542.03	$851.60	$2,443.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,225.90 / $2,458.16	Facility		$500.00	$1,225.90	$2,458.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,328.07 / $4,328.07 / $4,328.07	Professional		$4,328.07	$4,328.07	$4,328.07
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.70 / $1,069.15 / $1,792.48	Professional		$805.70	$1,069.15	$1,792.48