Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.81 / $555.45 / $3,757.00	Facility		$107.81	$555.45	$3,757.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $436.74 / $479.59 / $2,663.88	Facility	50	$436.74	$479.59	$2,663.88
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.26 / $35.26 / $53.91	Facility	52	$35.26	$35.26	$53.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $85.26 / $280.83	Professional		$42.93	$85.26	$280.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.30 / $152.69 / $422.12	Professional	50	$81.30	$152.69	$422.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $76.06 / $120.80	Professional		$53.43	$76.06	$120.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $61.16 / $75.49	Professional		$47.91	$61.16	$75.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.21 / $561.58 / $818.38	Facility		$432.21	$561.58	$818.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $648.32 / $842.37 / $1,227.57	Facility	50	$648.32	$842.37	$1,227.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $94.77 / $148.12	Professional		$59.18	$94.77	$148.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $70.80 / $107.91	Professional		$54.30	$70.80	$107.91
United Facility/Professional Professional Modifier 50 Low / Median / High Price $154.35 / $154.35 / $154.35	Professional	50	$154.35	$154.35	$154.35