Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $130.08 / $130.08	Facility		$130.08	$130.08	$130.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.08	Professional		$118.13	$130.08	$130.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $116.40	Professional		$112.00	$112.00	$116.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $130.08 / $130.08	Facility		$130.08	$130.08	$130.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.08	Professional		$118.13	$130.08	$130.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.60 / $181.60 / $181.60	Professional		$181.60	$181.60	$181.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17