Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $426.58	Facility		$275.42	$275.42	$426.58
Optum Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $562.34	Facility		$120.23	$120.23	$562.34
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $562.34	Facility		$120.23	$120.23	$562.34