Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $85.11 / $186.21	Facility		$57.54	$85.11	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $181.97	Professional		$57.54	$112.20	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $107.15	Professional		$56.23	$74.13	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $162.18	Professional		$67.61	$97.72	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $141.25	Professional		$74.13	$100.00	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Optum Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $190.55	Professional		$57.54	$72.44	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $69.18	Facility		$51.29	$51.29	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $144.54	Professional		$66.07	$83.18	$144.54