Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $158.00 / $165.00	Facility		$158.00	$158.00	$165.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $93.00 / $103.00	Facility		$38.00	$93.00	$103.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $158.00 / $165.00	Facility		$158.00	$158.00	$165.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $289.17 / $320.00	Facility		$279.83	$289.17	$320.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $93.00 / $103.00	Facility		$38.00	$93.00	$103.00