Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $99.15 / $99.15	Facility		$99.15	$99.15	$99.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $102.00 / $120.77	Professional		$80.59	$102.00	$120.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $162.21 / $191.60	Professional		$152.38	$162.21	$191.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $98.28	Facility		$88.70	$88.70	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $75.40 / $157.50	Professional		$75.40	$75.40	$157.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $196.86 / $206.60	Facility		$100.00	$196.86	$206.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $13.80 / $129.76	Professional		$5.26	$13.80	$129.76