Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $666.60 / $3,809.00	Facility		$134.19	$666.60	$3,809.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $837.42 / $837.42 / $1,135.81	Facility	50	$837.42	$837.42	$1,135.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $113.60 / $228.32	Professional		$87.37	$113.60	$228.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.69 / $181.46 / $342.48	Professional	50	$128.69	$181.46	$342.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $154.46 / $242.82	Professional		$80.31	$154.46	$242.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $89.98 / $111.24	Professional		$70.11	$89.98	$111.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $522.74 / $651.80 / $935.77	Facility		$522.74	$651.80	$935.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $159.38 / $212.89	Professional		$126.62	$159.38	$212.89
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 $89.74 / $127.15 / $195.56	Professional		$89.74	$127.15	$195.56