Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $238.43 / $381.13	Facility		$185.00	$238.43	$381.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $241.80 / $246.95 / $264.00	Facility		$241.80	$246.95	$264.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $249.00 / $300.00	Facility		$115.00	$249.00	$300.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $242.05 / $381.13	Facility		$185.00	$242.05	$381.13
Optum Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $202.00 / $483.00	Facility		$125.00	$202.00	$483.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $202.00 / $483.00	Facility		$125.00	$202.00	$483.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $249.00 / $300.00	Facility		$115.00	$249.00	$300.00