Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,410.00 / $2,410.00 / $2,410.00	Facility		$2,410.00	$2,410.00	$2,410.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $134.24 / $1,061.54	Facility		$90.08	$134.24	$1,061.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,410.00 / $2,410.00 / $2,410.00	Facility		$2,410.00	$2,410.00	$2,410.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $110.96 / $142.63 / $1,806.39	Facility		$110.96	$142.63	$1,806.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00