Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.44 / $2,833.00 / $4,387.00	Facility		$148.44	$2,833.00	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $74.22 / $74.22 / $103.71	Facility	52	$74.22	$74.22	$103.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $207.41 / $421.98	Professional		$128.82	$207.41	$421.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.60 / $218.81 / $318.20	Professional		$157.60	$218.81	$318.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $142.28 / $186.27	Professional		$116.42	$142.28	$186.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $765.38 / $1,043.22 / $1,520.27	Facility		$765.38	$1,043.22	$1,520.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $250.31 / $344.64	Professional		$167.29	$250.31	$344.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.04 / $191.60 / $351.37	Professional		$161.04	$191.60	$351.37