Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.20 / $373.57 / $3,825.00	Facility		$202.20	$373.57	$3,825.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $325.63 / $325.63 / $325.63	Facility	50	$325.63	$325.63	$325.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $193.74 / $361.38	Professional		$73.65	$193.74	$361.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $223.58 / $405.92	Professional		$103.50	$223.58	$405.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.26 / $198.34 / $258.70	Professional		$159.26	$198.34	$258.70
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 Facility Modifier 50 Low / Median / High Price $279.81 / $363.30 / $529.44	Facility	50	$279.81	$363.30	$529.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $174.29 / $384.16	Professional		$111.21	$174.29	$384.16
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $4,445.00 / $4,912.00	Facility		$658.00	$4,445.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.18 / $250.40 / $467.28	Professional		$196.18	$250.40	$467.28