Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $47.99 / $47.99	Facility		$47.99	$47.99	$47.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $57.39 / $107.15	Professional		$47.99	$57.39	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $186.30 / $267.47	Facility		$149.41	$186.30	$267.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $66.53 / $78.26	Professional		$51.01	$66.53	$78.26
United Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $60.11 / $86.80	Professional		$43.08	$60.11	$86.80