Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,512.55 / $20,470.32 / $33,732.49	Facility		$3,512.55	$20,470.32	$33,732.49
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $32,259.00 / $32,259.00 / $32,259.00	Facility	50	$32,259.00	$32,259.00	$32,259.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,642.36 / $1,642.36 / $1,642.36	Facility	54	$1,642.36	$1,642.36	$1,642.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.39 / $1,550.08 / $6,198.00	Professional		$974.39	$1,550.08	$6,198.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $168.77 / $408.72 / $1,030.03	Professional	AS	$168.77	$408.72	$1,030.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.01 / $1,994.95 / $3,628.59	Professional		$1,354.01	$1,994.95	$3,628.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $752.91 / $1,195.62	Professional		$123.43	$752.91	$1,195.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,314.50 / $25,330.44 / $36,365.48	Facility		$20,314.50	$25,330.44	$36,365.48
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $30,471.77 / $37,995.66 / $54,548.22	Facility	50	$30,471.77	$37,995.66	$54,548.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,678.37 / $2,005.71 / $3,231.72	Professional		$1,678.37	$2,005.71	$3,231.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $10,927.00 / $47,431.00	Facility		$3,340.00	$10,927.00	$47,431.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.70 / $1,527.24 / $2,360.15	Professional		$1,172.70	$1,527.24	$2,360.15