Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $139.00 / $139.00	Facility		$139.00	$139.00	$139.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $371.55 / $1,615.26	Facility		$30.48	$371.55	$1,615.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $68.25 / $68.25	Facility		$68.25	$68.25	$68.25
Optum Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $167.00 / $167.00	Facility		$167.00	$167.00	$167.00