Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $95.55 / $109.20	Facility		$95.55	$95.55	$109.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $84.00 / $109.25	Professional		$38.47	$84.00	$109.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $51.82 / $51.82	Facility		$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Professional		$38.22	$38.22	$38.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $95.55 / $109.20	Facility		$95.55	$95.55	$109.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $95.55 / $112.70	Professional		$40.00	$95.55	$112.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.20 / $236.20 / $236.20	Professional		$194.20	$236.20	$236.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $51.82 / $51.82	Facility		$51.82	$51.82	$51.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Professional		$38.22	$38.22	$38.22
United Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $54.00 / $92.56	Professional		$41.60	$54.00	$92.56