Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.37 / $2,196.77 / $4,387.00	Facility		$141.37	$2,196.77	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.69 / $70.69 / $141.94	Facility	52	$70.69	$70.69	$141.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.27 / $28.27 / $56.77	Facility	53	$28.27	$28.27	$56.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $199.33 / $457.96	Professional		$88.91	$199.33	$457.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $251.21 / $479.35	Professional		$119.76	$251.21	$479.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $205.27 / $264.40	Professional		$161.81	$205.27	$264.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,338.59 / $1,718.74 / $2,504.69	Facility		$1,338.59	$1,718.74	$2,504.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $292.20 / $482.02	Professional		$124.13	$292.20	$482.02
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 $210.38 / $289.27 / $454.74	Professional		$210.38	$289.27	$454.74