Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $376.39	Professional		$65.91	$65.91	$376.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $91.91 / $91.91	Facility		$91.91	$91.91	$91.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $135.16 / $135.16	Professional		$135.16	$135.16	$135.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $72.72	Professional		$65.91	$65.91	$72.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.91 / $175.91 / $175.91	Professional		$175.91	$175.91	$175.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $91.91 / $91.91	Facility		$91.91	$91.91	$91.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $135.16 / $135.16	Professional		$135.16	$135.16	$135.16