Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $142.26 / $142.26	Facility		$142.26	$142.26	$142.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $142.26 / $142.26	Professional		$110.15	$142.26	$142.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $62.75 / $62.75	Professional		$62.75	$62.75	$62.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $142.26 / $142.26	Facility		$142.26	$142.26	$142.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $142.26 / $142.26	Professional		$110.15	$142.26	$142.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $192.80 / $192.80	Professional		$192.80	$192.80	$192.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00