Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.94 / $10.47	Facility		$7.08	$7.94	$10.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $11.22	Professional		$6.03	$7.94	$11.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.80 / $13.80	Professional		$13.49	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.94 / $10.47	Facility		$7.08	$7.94	$10.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $12.02	Professional		$6.03	$7.94	$12.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $41.69	Professional		$0.60	$0.60	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.32 / $16.22	Professional		$6.46	$8.32	$16.22