Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.43 / $1,060.35 / $3,825.38	Facility		$263.43	$1,060.35	$3,825.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $513.80 / $513.80 / $513.80	Facility	50	$513.80	$513.80	$513.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $189.05 / $495.16	Professional		$63.88	$189.05	$495.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $164.03 / $418.94	Professional		$83.60	$164.03	$418.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.70 / $171.75 / $222.22	Professional		$136.70	$171.75	$222.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $192.34 / $421.46	Professional		$95.63	$192.34	$421.46
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 $189.38 / $234.05 / $447.85	Professional		$189.38	$234.05	$447.85