Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.55 / $2,260.89 / $5,393.91	Facility		$656.55	$2,260.89	$5,393.91
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.24 / $118.24 / $118.24	Facility	52	$118.24	$118.24	$118.24
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.29 / $47.29 / $47.29	Facility	53	$47.29	$47.29	$47.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $236.47 / $1,474.19	Professional		$74.30	$236.47	$1,474.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.19 / $312.70 / $1,909.23	Professional		$191.19	$312.70	$1,909.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $702.46 / $895.11 / $1,130.47	Professional		$702.46	$895.11	$1,130.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,686.94 / $3,607.85 / $5,257.67	Facility		$2,686.94	$3,607.85	$5,257.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $216.87 / $1,185.08 / $1,903.91	Professional		$216.87	$1,185.08	$1,903.91
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 $181.26 / $1,117.80 / $2,049.29	Professional		$181.26	$1,117.80	$2,049.29