Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $2,630.27	Facility		$112.20	$141.25	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $112.20	Professional		$104.71	$109.65	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $2,630.27	Facility		$112.20	$141.25	$2,630.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $128.82	Professional		$104.71	$109.65	$128.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60