Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $63.70 / $72.80	Facility		$63.70	$63.70	$72.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $56.00 / $72.80	Professional		$11.39	$56.00	$72.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $15.66 / $15.66	Facility		$15.66	$15.66	$15.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $63.70 / $72.80	Facility		$63.70	$63.70	$72.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $63.70 / $74.48	Professional		$11.85	$63.70	$74.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $157.50 / $157.50	Professional		$129.50	$157.50	$157.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $15.66 / $15.66	Facility		$15.66	$15.66	$15.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $15.75 / $28.85	Professional		$12.36	$15.75	$28.85