Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $63.28 / $69.29	Facility		$63.28	$63.28	$69.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $69.29 / $72.38	Professional		$63.28	$69.29	$72.38
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $248.00 / $248.00	Professional		$238.98	$248.00	$248.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.68 / $127.68 / $127.68	Facility		$127.68	$127.68	$127.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $104.92 / $104.92	Professional		$104.92	$104.92	$104.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $63.28 / $69.29	Facility		$63.28	$63.28	$69.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $69.29 / $69.29	Professional		$63.28	$69.29	$69.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $54.40 / $54.40	Professional		$54.40	$54.40	$54.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $127.68 / $127.68 / $127.68	Facility		$127.68	$127.68	$127.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $104.92 / $104.92	Professional		$104.92	$104.92	$104.92