Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.41 / $371.95 / $1,617.11	Facility		$30.41	$371.95	$1,617.11
Optum Facility/Professional Facility Modifier Low / Median / High Price $373.00 / $423.12 / $899.00	Facility		$373.00	$423.12	$899.00
United Facility/Professional Facility Modifier Low / Median / High Price $373.00 / $423.12 / $899.00	Facility		$373.00	$423.12	$899.00