Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $158.37 / $3,757.00	Facility		$27.37	$158.37	$3,757.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $28.57 / $142.83 / $3,550.32	Facility	50	$28.57	$142.83	$3,550.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $18.73 / $18.73 / $28.32	Facility	52	$18.73	$18.73	$28.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $63.63 / $124.77	Professional		$27.03	$63.63	$124.77
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $45.92 / $45.92 / $45.92	Professional	22	$45.92	$45.92	$45.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $25.75 / $121.48 / $293.26	Professional	50	$25.75	$121.48	$293.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.73 / $28.32 / $41.91	Professional	52	$18.73	$28.32	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $59.62 / $88.88	Professional		$41.35	$59.62	$88.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $57.10 / $71.77	Professional		$46.74	$57.10	$71.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $116.32 / $169.01	Facility		$92.09	$116.32	$169.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $63.29 / $89.23	Professional		$46.90	$63.29	$89.23
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 $44.88 / $61.17 / $100.90	Professional		$44.88	$61.17	$100.90