Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.06 / $2,870.00 / $4,387.00	Facility		$165.06	$2,870.00	$4,387.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $908.88 / $908.88 / $908.88	Facility	50	$908.88	$908.88	$908.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $165.06 / $566.87	Professional		$107.41	$165.06	$566.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.78 / $524.78 / $550.98	Professional	50	$524.78	$524.78	$550.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $188.90 / $299.88	Professional		$128.09	$188.90	$299.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $130.29 / $168.20	Professional		$104.91	$130.29	$168.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $545.92 / $1,311.21 / $1,910.81	Facility		$545.92	$1,311.21	$1,910.81
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $818.90 / $1,966.82 / $2,866.22	Facility	50	$818.90	$1,966.82	$2,866.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $296.83 / $503.16	Professional		$179.33	$296.83	$503.16
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 $143.53 / $189.44 / $280.89	Professional		$143.53	$189.44	$280.89