Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.50 / $2,910.00 / $5,743.00	Facility		$89.50	$2,910.00	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,118.30 / $1,118.30 / $5,546.00	Facility	50	$1,118.30	$1,118.30	$5,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.43 / $507.76	Professional		$58.88	$102.43	$507.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.64 / $133.91 / $452.01	Professional	50	$82.64	$133.91	$452.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $106.42 / $168.77	Professional		$70.28	$106.42	$168.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $89.98 / $111.24	Professional		$70.45	$89.98	$111.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $161.62 / $249.42	Professional		$97.42	$161.62	$249.42
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 $83.44 / $101.20 / $164.12	Professional		$83.44	$101.20	$164.12