Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.00 / $363.00 / $363.00	Facility		$363.00	$363.00	$363.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $363.00 / $363.00 / $363.00	Facility		$363.00	$363.00	$363.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $477.00	Facility		$150.00	$150.00	$477.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $477.00	Facility		$150.00	$150.00	$477.00