Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.35 / $2,767.00 / $5,743.00	Facility		$271.35	$2,767.00	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $971.37 / $971.37 / $971.37	Facility	50	$971.37	$971.37	$971.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $645.75 / $1,711.28	Professional		$169.83	$645.75	$1,711.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,372.25 / $1,372.25 / $1,372.25	Professional	50	$1,372.25	$1,372.25	$1,372.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.01 / $1,038.02 / $1,474.44	Professional		$241.01	$1,038.02	$1,474.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $564.11 / $686.75 / $953.81	Professional		$564.11	$686.75	$953.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.13 / $1,068.73 / $1,756.29	Professional		$245.13	$1,068.73	$1,756.29
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 $826.98 / $1,042.84 / $1,804.33	Professional		$826.98	$1,042.84	$1,804.33