Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $96.10	Facility		$96.10	$96.10	$96.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.10 / $98.73	Professional		$69.12	$96.10	$98.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $85.61 / $106.00	Professional		$45.41	$85.61	$106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $96.10	Facility		$96.10	$96.10	$96.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.10 / $161.76	Professional		$69.12	$96.10	$161.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $147.19 / $147.19	Professional		$147.19	$147.19	$147.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93