Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.79 / $2,009.02 / $4,942.22	Facility		$179.79	$2,009.02	$4,942.22
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $42.03 / $89.90 / $89.90	Facility	52	$42.03	$89.90	$89.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.80 / $16.80 / $35.96	Facility	53	$16.80	$16.80	$35.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $135.43 / $333.27	Professional		$54.03	$135.43	$333.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $158.93 / $318.42	Professional		$70.18	$158.93	$318.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $172.91 / $222.22	Professional		$137.43	$172.91	$222.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,312.82 / $1,732.91 / $2,525.35	Facility		$1,312.82	$1,732.91	$2,525.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $135.44 / $272.18	Professional		$81.70	$135.44	$272.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $189.14 / $328.69	Professional		$137.69	$189.14	$328.69