Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.63 / $84.63 / $96.72	Facility		$84.63	$84.63	$96.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $74.40 / $96.72	Professional		$46.62	$74.40	$96.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Facility		$62.26	$62.26	$62.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional		$45.92	$45.92	$45.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $84.63 / $84.63 / $96.72	Facility		$84.63	$84.63	$96.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $84.63 / $98.98	Professional		$48.00	$84.63	$98.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.10 / $209.20 / $209.20	Professional		$172.10	$209.20	$209.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Facility		$62.26	$62.26	$62.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional		$45.92	$45.92	$45.92
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $65.52 / $112.14	Professional		$51.00	$65.52	$112.14