Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Optum Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $912.01	Facility		$467.74	$501.19	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $912.01	Facility		$467.74	$501.19	$912.01