Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.63 / $394.37 / $3,809.00	Facility		$108.63	$394.37	$3,809.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $55.64 / $454.68 / $3,028.66	Facility	50	$55.64	$454.68	$3,028.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $121.81 / $254.77	Professional		$54.05	$121.81	$254.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.75 / $65.75 / $65.75	Professional	50	$65.75	$65.75	$65.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $123.61 / $258.61	Professional		$77.23	$123.61	$258.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $114.56 / $147.46	Professional		$92.16	$114.56	$147.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.54 / $242.20 / $352.96	Facility		$186.54	$242.20	$352.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $123.98 / $227.25	Professional		$81.70	$123.98	$227.25
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 $95.88 / $147.24 / $294.49	Professional		$95.88	$147.24	$294.49