Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $2,501.94 / $4,387.00	Facility		$169.58	$2,501.94	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.79 / $84.79 / $176.82	Facility	52	$84.79	$84.79	$176.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $270.93 / $544.08	Professional		$137.07	$270.93	$544.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $291.89 / $458.95	Professional		$181.26	$291.89	$458.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.22 / $227.90 / $292.38	Professional		$185.22	$227.90	$292.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,475.05 / $3,218.11 / $4,689.71	Facility		$2,475.05	$3,218.11	$4,689.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $325.49 / $560.61	Professional		$188.57	$325.49	$560.61
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 $227.37 / $351.39 / $567.70	Professional		$227.37	$351.39	$567.70