Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $2,691.53	Facility		$776.25	$1,548.82	$2,691.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $2,691.53	Facility		$776.25	$1,548.82	$2,691.53
Optum Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,148.15	Facility		$1,096.48	$1,096.48	$1,148.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,148.15	Facility		$1,096.48	$1,096.48	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $10,232.93 / $18,197.01	Facility		$1,412.54	$10,232.93	$18,197.01