Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.48 / $1,227.18 / $4,312.00	Facility		$94.48	$1,227.18	$4,312.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $922.92 / $922.92 / $2,829.45	Facility	50	$922.92	$922.92	$2,829.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $105.81 / $291.32	Professional		$54.04	$105.81	$291.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $827.23 / $827.23 / $827.23	Professional	50	$827.23	$827.23	$827.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $103.28 / $206.69	Professional		$69.86	$103.28	$206.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $89.98 / $111.24	Professional		$71.56	$89.98	$111.24
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 $103.51 / $182.21 / $312.29	Professional		$103.51	$182.21	$312.29
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 $75.90 / $115.29 / $187.72	Professional		$75.90	$115.29	$187.72