Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.25 / $159.25 / $182.00	Facility		$159.25	$159.25	$182.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $140.00 / $182.00	Professional		$70.30	$140.00	$182.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $159.25 / $159.25 / $182.00	Facility		$159.25	$159.25	$182.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $159.25 / $187.18	Professional		$72.00	$159.25	$187.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.80 / $393.80 / $393.80	Professional		$323.80	$393.80	$393.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
United Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $97.20 / $176.03	Professional		$75.20	$97.20	$176.03