Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $489.78	Facility		$288.40	$398.11	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $190.55 / $977.24	Facility		$38.90	$190.55	$977.24
Optum Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82