Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $4.13 / $87.78	Facility		$2.73	$4.13	$87.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.96 / $4.88	Professional		$2.44	$2.96	$4.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $406.67 / $478.44 / $8,459.92	Facility		$406.67	$478.44	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $503.62 / $503.62 / $503.62	Professional		$503.62	$503.62	$503.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $4.23 / $3,728.93	Facility		$2.73	$4.23	$3,728.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.21 / $4.88	Professional		$2.44	$3.21	$4.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $15.99 / $22.13	Professional		$10.68	$15.99	$22.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.04 / $9.59	Professional		$2.60	$3.04	$9.59