Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $27.54	Facility		$20.89	$20.89	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $21.38	Professional		$19.95	$20.89	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $27.54	Facility		$20.89	$20.89	$27.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $25.12	Professional		$19.95	$20.89	$25.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88