Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $2,634.00 / $4,387.00	Facility		$95.55	$2,634.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $132.91 / $352.16	Professional		$60.54	$132.91	$352.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $144.25	Professional	50	$144.25	$144.25	$144.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $121.88 / $226.96	Professional		$74.98	$121.88	$226.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $118.80 / $148.82	Professional		$93.54	$118.80	$148.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $195.96 / $297.10	Professional		$100.19	$195.96	$297.10
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 $102.08 / $129.96 / $208.66	Professional		$102.08	$129.96	$208.66