Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $2,192.92	Facility		$1,726.72	$1,726.72	$2,192.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.72 / $1,726.72 / $3,135.93	Professional		$1,151.72	$1,726.72	$3,135.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $2,192.92 / $2,192.92	Facility		$1,726.72	$2,192.92	$2,192.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $3,135.93	Professional		$1,726.72	$1,726.72	$3,135.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.80 / $330.80 / $435.50	Professional		$330.80	$330.80	$435.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00