Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,680.00 / $9,676.00	Facility		$1,499.00	$4,680.00	$9,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.97 / $2,054.92 / $2,596.67	Professional		$1,365.97	$2,054.92	$2,596.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,604.13 / $2,604.13 / $2,604.13	Facility		$2,604.13	$2,604.13	$2,604.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,842.01 / $10,842.01 / $10,842.01	Professional		$10,842.01	$10,842.01	$10,842.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,079.00 / $10,527.00	Facility		$1,301.00	$5,079.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,365.97 / $2,184.85 / $2,843.00	Professional		$1,365.97	$2,184.85	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,604.13 / $2,604.13 / $2,604.13	Facility		$2,604.13	$2,604.13	$2,604.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10,842.01 / $10,842.01 / $10,842.01	Professional		$10,842.01	$10,842.01	$10,842.01
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,391.00 / $6,322.00	Facility		$448.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,297.57 / $2,808.14 / $4,611.66	Professional		$2,297.57	$2,808.14	$4,611.66