Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.22 / $914.29 / $3,977.00	Facility		$53.22	$914.29	$3,977.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $26.61 / $26.61 / $144.59	Facility	52	$26.61	$26.61	$144.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $201.01 / $474.65	Professional		$34.26	$201.01	$474.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $256.29 / $408.19	Professional		$47.99	$256.29	$408.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.06 / $205.27 / $258.90	Professional		$160.06	$205.27	$258.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $381.48 / $484.37 / $682.89	Facility		$381.48	$484.37	$682.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $83.16 / $390.32	Professional		$52.65	$83.16	$390.32
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $4,445.00 / $4,912.00	Facility		$658.00	$4,445.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.95 / $290.25 / $397.53	Professional		$199.95	$290.25	$397.53