Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $2,910.00 / $4,387.00	Facility		$115.07	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,506.67 / $1,506.67 / $2,925.11	Facility	50	$1,506.67	$1,506.67	$2,925.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $201.91 / $454.57	Professional		$80.44	$201.91	$454.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $298.08 / $298.85	Professional	50	$220.42	$298.08	$298.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $216.99 / $385.18	Professional		$95.37	$216.99	$385.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $208.79 / $259.12	Professional		$166.78	$208.79	$259.12
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 $134.51 / $254.91 / $510.99	Professional		$134.51	$254.91	$510.99
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 $183.75 / $227.62 / $359.41	Professional		$183.75	$227.62	$359.41