Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $2,164.00 / $4,312.00	Facility		$74.63	$2,164.00	$4,312.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.93 / $14.93 / $14.93	Facility	53	$14.93	$14.93	$14.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $74.63 / $262.00	Professional		$41.09	$74.63	$262.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $67.70 / $82.17	Professional		$61.36	$67.70	$82.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $32.90 / $138.69	Professional		$24.45	$32.90	$138.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $104.20 / $132.84	Professional		$56.57	$104.20	$132.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $11,487.00	Facility		$1,078.00	$1,556.00	$11,487.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $56.68 / $92.15	Professional		$42.24	$56.68	$92.15