Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.53 / $54.53 / $56.19	Facility		$54.53	$54.53	$56.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $31.80 / $67.72	Professional		$25.24	$31.80	$67.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $30.42 / $44.13	Professional		$25.01	$30.42	$44.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $39.09 / $60.92	Professional		$26.12	$39.09	$60.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.90 / $154.90 / $154.90	Facility		$154.90	$154.90	$154.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $203.57 / $261.38	Professional		$197.08	$203.57	$261.38
Optum Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $34.61 / $79.23	Professional		$26.08	$34.61	$79.23
United Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $36.29 / $60.99	Professional		$29.42	$36.29	$60.99