Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.37 / $2,870.00 / $4,387.00	Facility		$104.37	$2,870.00	$4,387.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $822.08 / $822.08 / $822.08	Facility	50	$822.08	$822.08	$822.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $116.98 / $298.10	Professional		$56.00	$116.98	$298.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $326.91 / $326.91 / $326.91	Professional	50	$326.91	$326.91	$326.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $111.65 / $194.98	Professional		$68.37	$111.65	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $61.16 / $72.32	Professional		$48.51	$61.16	$72.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,050.47 / $1,326.87 / $1,910.81	Facility		$1,050.47	$1,326.87	$1,910.81
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,575.71 / $1,990.31 / $2,866.22	Facility	50	$1,575.71	$1,990.31	$2,866.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $159.29 / $384.32	Professional		$91.33	$159.29	$384.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $124.90 / $201.49	Professional		$75.11	$124.90	$201.49