Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $63.59 / $246.09	Facility		$61.00	$63.59	$246.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $64.52 / $82.56	Professional		$60.21	$64.52	$82.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $138.68 / $138.68	Professional		$133.63	$138.68	$138.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $41.25 / $103.47	Professional		$41.25	$41.25	$103.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $63.59 / $246.09	Facility		$63.59	$63.59	$246.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $63.59 / $74.64	Professional		$59.84	$63.59	$74.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.80 / $308.80 / $308.80	Professional		$308.80	$308.80	$308.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $41.25 / $136.88	Professional		$41.25	$41.25	$136.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $84.35 / $147.72	Professional		$64.95	$84.35	$147.72