Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.83 / $3,038.00 / $5,743.00	Facility		$450.83	$3,038.00	$5,743.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $225.42 / $225.42 / $406.60	Facility	52	$225.42	$225.42	$406.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $90.17 / $90.17 / $162.63	Facility	53	$90.17	$90.17	$162.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $544.47 / $1,064.72	Professional		$264.64	$544.47	$1,064.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.14 / $580.62 / $1,209.74	Professional		$316.14	$580.62	$1,209.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $464.91 / $585.08 / $737.18	Professional		$464.91	$585.08	$737.18
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 $368.43 / $709.07 / $1,191.13	Professional		$368.43	$709.07	$1,191.13
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 $580.58 / $858.89 / $1,267.89	Professional		$580.58	$858.89	$1,267.89