Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.98 / $3,677.99 / $5,743.00	Facility		$686.98	$3,677.99	$5,743.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $40.10 / $40.10 / $137.40	Facility	53	$40.10	$40.10	$137.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $318.12 / $1,188.71	Professional		$157.97	$318.12	$1,188.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.08 / $558.14 / $903.75	Professional		$227.08	$558.14	$903.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.15 / $400.01 / $500.40	Professional		$320.15	$400.01	$500.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,327.64 / $3,074.05 / $4,479.78	Facility		$2,327.64	$3,074.05	$4,479.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.60 / $400.44 / $1,166.77	Professional		$231.60	$400.44	$1,166.77
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 $568.76 / $666.40 / $1,248.47	Professional		$568.76	$666.40	$1,248.47