Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $2,922.00 / $5,743.00	Facility		$76.84	$2,922.00	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $237.50 / $328.16 / $5,546.00	Facility	50	$237.50	$328.16	$5,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $88.44 / $297.55	Professional		$51.29	$88.44	$297.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.60 / $282.41 / $437.12	Professional	50	$120.60	$282.41	$437.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $98.86 / $153.00	Professional		$62.84	$98.86	$153.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $89.98 / $110.94	Professional		$70.11	$89.98	$110.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $144.82 / $230.20	Professional		$85.24	$144.82	$230.20
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 $77.61 / $95.41 / $152.66	Professional		$77.61	$95.41	$152.66