Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.04 / $113.38 / $133.38	Facility		$100.04	$113.38	$133.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $120.13 / $169.10	Professional		$93.54	$120.13	$169.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $101.72 / $119.64	Professional		$89.67	$101.72	$119.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $109.30 / $197.53	Professional		$70.98	$109.30	$197.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $134.00 / $230.40	Professional		$95.00	$134.00	$230.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $481.38 / $481.38 / $515.85	Facility		$481.38	$481.38	$515.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $656.48 / $817.07 / $1,043.84	Professional		$656.48	$817.07	$1,043.84
Optum Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $146.91 / $243.22	Professional		$118.63	$146.91	$243.22
United Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $150.28 / $271.79	Professional		$118.63	$150.28	$271.79