Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.72 / $3,294.00 / $7,679.00	Facility		$509.72	$3,294.00	$7,679.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,253.00 / $9,133.59 / $9,133.59	Facility	50	$8,253.00	$9,133.59	$9,133.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.76 / $509.72 / $1,028.13	Professional		$402.76	$509.72	$1,028.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,854.12 / $3,854.12 / $3,854.12	Professional	50	$3,854.12	$3,854.12	$3,854.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.08 / $731.57 / $1,013.79	Professional		$448.08	$731.57	$1,013.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $352.18 / $577.70	Professional		$61.01	$352.18	$577.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,310.39 / $4,430.70 / $6,456.79	Facility		$3,310.39	$4,430.70	$6,456.79
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,965.59 / $6,646.05 / $9,685.19	Facility	50	$4,965.59	$6,646.05	$9,685.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $664.16 / $858.29 / $1,157.94	Professional		$664.16	$858.29	$1,157.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,613.00 / $7,048.00	Facility		$1,981.00	$3,613.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.99 / $612.00 / $951.99	Professional		$509.99	$612.00	$951.99