Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Facility		$30.03	$30.03	$30.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $30.03 / $38.58	Professional		$23.66	$30.03	$38.58
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $50.50 / $50.50	Professional		$48.66	$50.50	$50.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.29 / $118.29 / $118.29	Facility		$118.29	$118.29	$118.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Professional		$36.29	$36.29	$36.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $30.36 / $40.86	Professional		$23.66	$30.36	$40.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $118.29 / $118.29 / $118.29	Facility		$118.29	$118.29	$118.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Professional		$36.29	$36.29	$36.29
United Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $28.58 / $58.87	Professional		$20.56	$28.58	$58.87