Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.36 / $2,089.51 / $5,362.93	Facility		$509.36	$2,089.51	$5,362.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $136.47 / $136.47 / $1,056.83	Facility	52	$136.47	$136.47	$1,056.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.59 / $54.59 / $54.59	Facility	53	$54.59	$54.59	$54.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $272.95 / $651.58	Professional		$160.91	$272.95	$651.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.17 / $359.64 / $701.66	Professional		$221.17	$359.64	$701.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $256.18 / $327.60 / $409.89	Professional		$256.18	$327.60	$409.89
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 $250.19 / $424.99 / $735.06	Professional		$250.19	$424.99	$735.06
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 $222.74 / $384.81 / $644.69	Professional		$222.74	$384.81	$644.69