Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.70 / $3,038.00 / $4,626.00	Facility		$176.70	$3,038.00	$4,626.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,214.77 / $1,214.77 / $1,214.77	Facility	50	$1,214.77	$1,214.77	$1,214.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $1,013.67 / $1,938.16	Professional		$176.70	$1,013.67	$1,938.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.92 / $1,130.19 / $1,689.05	Professional		$199.92	$1,130.19	$1,689.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.25 / $750.27 / $946.79	Professional		$588.25	$750.27	$946.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,475.05 / $3,218.11 / $4,689.71	Facility		$2,475.05	$3,218.11	$4,689.71
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,712.58 / $4,827.17 / $7,034.57	Facility	50	$3,712.58	$4,827.17	$7,034.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $326.30 / $1,782.17	Professional		$216.12	$326.30	$1,782.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $941.49 / $1,191.05 / $2,054.17	Professional		$941.49	$1,191.05	$2,054.17