Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.91 / $2,871.00 / $4,387.00	Facility		$124.91	$2,871.00	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $62.46 / $62.46 / $240.14	Facility	52	$62.46	$62.46	$240.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $172.83 / $689.63	Professional		$102.70	$172.83	$689.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $531.53 / $777.57	Professional		$153.60	$531.53	$777.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.40 / $344.94 / $439.78	Professional		$273.40	$344.94	$439.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,029.45 / $1,334.02 / $1,944.04	Facility		$1,029.45	$1,334.02	$1,944.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $249.25 / $735.01	Professional		$154.72	$249.25	$735.01
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 $439.56 / $582.55 / $988.28	Professional		$439.56	$582.55	$988.28