Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.28 / $2,870.00 / $4,312.00	Facility		$101.28	$2,870.00	$4,312.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $667.25 / $667.25 / $667.25	Facility	50	$667.25	$667.25	$667.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $171.96 / $262.75	Professional		$101.28	$171.96	$262.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $168.72 / $309.07	Professional		$88.92	$168.72	$309.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $147.62 / $187.35	Professional		$115.96	$147.62	$187.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,408.37 / $1,919.63 / $2,797.46	Facility		$1,408.37	$1,919.63	$2,797.46
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,112.56 / $2,879.45 / $4,196.18	Facility	50	$2,112.56	$2,879.45	$4,196.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $215.49 / $328.09	Professional		$131.80	$215.49	$328.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $179.06 / $255.51	Professional		$145.80	$179.06	$255.51