Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.13 / $2,356.00 / $4,707.00	Facility		$335.13	$2,356.00	$4,707.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $167.57 / $167.57 / $302.20	Facility	52	$167.57	$167.57	$302.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.03 / $67.03 / $120.88	Facility	53	$67.03	$67.03	$120.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.05 / $398.41 / $702.10	Professional		$182.05	$398.41	$702.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.40 / $420.00 / $809.63	Professional		$251.40	$420.00	$809.63
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 / $529.05 / $835.06	Professional		$283.04	$529.05	$835.06
United Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $4,455.00 / $4,912.00	Facility		$871.00	$4,455.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.24 / $500.85 / $830.73	Professional		$373.24	$500.85	$830.73