Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.20 / $2,816.72 / $5,752.97	Facility		$851.20	$2,816.72	$5,752.97
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.67 / $310.64 / $310.64	Facility	52	$176.67	$310.64	$310.64
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.67 / $70.67 / $124.26	Facility	53	$70.67	$70.67	$124.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.28 / $429.79 / $1,056.31	Professional		$198.28	$429.79	$1,056.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $101.54 / $210.70 / $528.16	Professional	52	$101.54	$210.70	$528.16
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $40.61 / $90.67 / $211.26	Professional	53	$40.61	$90.67	$211.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $1,499.00 / $1,499.00	Facility		$1,499.00	$1,499.00	$1,499.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $420.00 / $793.45	Professional		$254.84	$420.00	$793.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $303.36 / $388.77 / $485.39	Professional		$303.36	$388.77	$485.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,715.47 / $2,237.48 / $3,260.64	Facility		$1,715.47	$2,237.48	$3,260.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $283.04 / $557.97 / $833.29	Professional		$283.04	$557.97	$833.29
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 $376.03 / $498.95 / $800.59	Professional		$376.03	$498.95	$800.59