Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $56.00 / $599.64	Facility		$56.00	$56.00	$599.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $56.00 / $599.64	Professional		$40.00	$56.00	$599.64
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $387.20 / $387.20 / $387.20	Professional	QZ	$387.20	$387.20	$387.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $353.75 / $484.20	Professional		$260.00	$353.75	$484.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $313.26 / $574.30	Professional		$118.65	$313.26	$574.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $347.00 / $414.42 / $480.78	Professional		$347.00	$414.42	$480.78
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $173.50 / $207.21 / $240.39	Professional	QX	$173.50	$207.21	$240.39
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $173.50 / $207.21 / $240.39	Professional	QY	$173.50	$207.21	$240.39
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $78.00	Professional		$38.00	$52.00	$78.00