Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.31 / $1,475.00 / $2,887.00	Facility		$870.31	$1,475.00	$2,887.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.91 / $971.51 / $1,407.08	Professional		$348.91	$971.51	$1,407.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.76 / $529.53 / $2,480.46	Facility		$194.76	$529.53	$2,480.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $1,755.54 / $1,755.54	Professional		$0.66	$1,755.54	$1,755.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $870.31 / $1,477.00 / $3,375.48	Facility		$870.31	$1,477.00	$3,375.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $913.83 / $1,451.36	Professional		$375.00	$913.83	$1,451.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.80 / $501.80 / $501.80	Professional		$501.80	$501.80	$501.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $194.76 / $1,002.67 / $2,480.46	Facility		$194.76	$1,002.67	$2,480.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,755.54 / $1,755.54 / $1,755.54	Professional		$1,755.54	$1,755.54	$1,755.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,376.25 / $2,376.25 / $2,376.25	Facility		$2,376.25	$2,376.25	$2,376.25
United Facility/Professional Professional Modifier Low / Median / High Price $347.15 / $430.05 / $722.33	Professional		$347.15	$430.05	$722.33