Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $2,784.67 / $4,387.00	Facility		$102.14	$2,784.67	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.07 / $51.07 / $112.05	Facility	52	$51.07	$51.07	$112.05
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.43 / $20.43 / $44.82	Facility	53	$20.43	$20.43	$44.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $180.60 / $446.84	Professional		$70.56	$180.60	$446.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $199.48 / $488.38	Professional		$88.71	$199.48	$488.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.73 / $230.81 / $295.58	Professional		$184.73	$230.81	$295.58
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 $103.95 / $161.91 / $414.84	Professional		$103.95	$161.91	$414.84
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 $190.16 / $305.33 / $580.95	Professional		$190.16	$305.33	$580.95