Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $616.60 / $616.60	Facility		$56.23	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $630.96	Professional		$38.02	$52.48	$630.96
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $389.05 / $794.33	Professional	AA	$389.05	$389.05	$794.33
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $295.12 / $346.74 / $549.54	Professional	QX	$295.12	$346.74	$549.54
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $295.12 / $309.03 / $489.78	Professional	QY	$295.12	$309.03	$489.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $389.05 / $389.05	Professional	QZ	$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $436.52	Professional		$251.19	$323.59	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $316.23 / $575.44	Professional		$141.25	$316.23	$575.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $537.03	Professional		$346.74	$426.58	$537.03
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $173.78 / $213.80 / $269.15	Professional	QX	$173.78	$213.80	$269.15
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $173.78 / $213.80 / $269.15	Professional	QY	$173.78	$213.80	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $79.43	Professional		$38.02	$50.12	$79.43