Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $237.75 / $237.75	Facility		$237.75	$237.75	$237.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $237.75 / $447.24	Professional		$110.87	$237.75	$447.24
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 $237.75 / $237.75 / $237.75	Facility		$237.75	$237.75	$237.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $237.75 / $447.24	Professional		$117.95	$237.75	$447.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $111.79 / $168.32	Professional		$91.35	$111.79	$168.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00