Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.51 / $1,395.86 / $7,620.00	Facility		$493.51	$1,395.86	$7,620.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,516.51 / $1,516.51 / $3,902.85	Facility	50	$1,516.51	$1,516.51	$3,902.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.51 / $598.49 / $973.66	Professional		$493.51	$598.49	$973.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,968.29 / $1,968.29 / $1,968.29	Professional	50	$1,968.29	$1,968.29	$1,968.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.84 / $710.88 / $1,049.57	Professional		$425.84	$710.88	$1,049.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $347.64 / $581.10	Professional		$61.01	$347.64	$581.10
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 $631.67 / $893.07 / $1,165.58	Professional		$631.67	$893.07	$1,165.58
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 $496.38 / $612.50 / $892.50	Professional		$496.38	$612.50	$892.50