Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.70 / $2,058.26 / $4,270.30	Facility		$592.70	$2,058.26	$4,270.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.09 / $350.78 / $460.19	Facility	52	$64.09	$350.78	$460.19
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.64 / $25.64 / $140.31	Facility	53	$25.64	$25.64	$140.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $147.21 / $701.55	Professional		$85.93	$147.21	$701.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $371.16 / $846.78	Professional		$151.96	$371.16	$846.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.94 / $255.53 / $331.13	Professional		$205.94	$255.53	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $894.19 / $1,191.10 / $1,735.80	Facility		$894.19	$1,191.10	$1,735.80
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,341.29 / $1,786.67 / $2,603.69	Facility	50	$1,341.29	$1,786.67	$2,603.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $247.77 / $545.88	Professional		$154.72	$247.77	$545.88
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 $280.12 / $407.72 / $784.22	Professional		$280.12	$407.72	$784.22