Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $91.63 / $94.43	Facility		$81.86	$91.63	$94.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $94.43 / $133.55	Professional		$77.53	$94.43	$133.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $140.21 / $186.95	Professional		$104.64	$140.21	$186.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $87.72 / $159.77	Professional		$57.64	$87.72	$159.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $107.04 / $232.80	Professional		$68.19	$107.04	$232.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.71 / $405.71 / $433.30	Facility		$405.71	$405.71	$433.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $557.69 / $617.49 / $816.38	Professional		$557.69	$617.49	$816.38
Optum Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $88.80 / $131.57	Professional		$71.42	$88.80	$131.57
United Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $104.97 / $200.21	Professional		$78.34	$104.97	$200.21