Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.35 / $2,910.00 / $4,312.00	Facility		$129.35	$2,910.00	$4,312.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.68 / $64.68 / $279.83	Facility	52	$64.68	$64.68	$279.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.87 / $25.87 / $111.94	Facility	53	$25.87	$25.87	$111.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $379.92 / $749.04	Professional		$83.84	$379.92	$749.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $495.90 / $677.43	Professional		$115.20	$495.90	$677.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.86 / $312.72 / $420.38	Professional		$247.86	$312.72	$420.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,326.29 / $3,036.60 / $4,425.20	Facility		$2,326.29	$3,036.60	$4,425.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.97 / $203.37 / $827.83	Professional		$117.97	$203.37	$827.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $11,487.00	Facility		$1,689.00	$2,312.00	$11,487.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.54 / $491.01 / $819.36	Professional		$375.54	$491.01	$819.36