Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $56.34 / $66.28	Facility		$49.71	$56.34	$66.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $64.30 / $85.08	Professional		$49.71	$64.30	$85.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.84 / $87.27	Professional		$50.00	$65.84	$87.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $59.97 / $92.58	Professional		$41.58	$59.97	$92.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $69.70 / $121.05	Professional		$46.00	$69.70	$121.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.45 / $322.45 / $344.23	Facility		$322.45	$322.45	$344.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $440.01 / $494.51 / $649.35	Professional		$440.01	$494.51	$649.35
Optum Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $71.79 / $105.48	Professional		$53.84	$71.79	$105.48
United Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $73.16 / $132.72	Professional		$57.41	$73.16	$132.72