Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.69 / $2,356.00 / $4,626.00	Facility		$461.69	$2,356.00	$4,626.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,484.53 / $4,484.53 / $4,484.53	Facility	50	$4,484.53	$4,484.53	$4,484.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.14 / $1,402.57 / $2,149.51	Professional		$307.14	$1,402.57	$2,149.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $231.48 / $231.48 / $231.48	Professional	50	$231.48	$231.48	$231.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.07 / $765.30 / $3,256.40	Professional		$398.07	$765.30	$3,256.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,083.54 / $1,333.12 / $1,753.69	Professional		$1,083.54	$1,333.12	$1,753.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,735.70 / $6,043.65 / $8,807.33	Facility		$4,735.70	$6,043.65	$8,807.33
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,103.55 / $9,065.48 / $13,211.00	Facility	50	$7,103.55	$9,065.48	$13,211.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $453.54 / $902.97 / $2,998.50	Professional		$453.54	$902.97	$2,998.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,097.00 / $8,267.00	Facility		$2,155.00	$6,097.00	$8,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.75 / $1,925.00 / $2,903.67	Professional		$1,443.75	$1,925.00	$2,903.67