Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.34 / $1,012.42 / $4,387.00	Facility		$179.34	$1,012.42	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.67 / $89.67 / $168.92	Facility	52	$89.67	$89.67	$168.92
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.86 / $35.86 / $67.56	Facility	53	$35.86	$35.86	$67.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $258.51 / $615.90	Professional		$81.75	$258.51	$615.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.16 / $285.26 / $368.78	Professional		$119.16	$285.26	$368.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $171.23 / $241.03	Professional		$138.47	$171.23	$241.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,735.70 / $6,043.65 / $8,807.33	Facility		$4,735.70	$6,043.65	$8,807.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.39 / $291.61 / $533.88	Professional		$120.39	$291.61	$533.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $11,487.00	Facility		$1,106.00	$1,649.00	$11,487.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $265.60 / $437.75	Professional		$200.64	$265.60	$437.75