Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.16 / $2,081.36 / $4,951.51	Facility		$701.16	$2,081.36	$4,951.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $209.61 / $209.61 / $350.58	Facility	52	$209.61	$209.61	$350.58
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $83.84 / $83.84 / $140.22	Facility	53	$83.84	$83.84	$140.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.81 / $422.99 / $1,000.09	Professional		$247.81	$422.99	$1,000.09
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $51.62 / $96.15 / $268.10	Professional	53	$51.62	$96.15	$268.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $1,345.00 / $1,345.00	Facility		$1,345.00	$1,345.00	$1,345.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.73 / $499.17 / $834.32	Professional		$310.73	$499.17	$834.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $327.36 / $411.18 / $523.78	Professional		$327.36	$411.18	$523.78
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 $359.84 / $591.79 / $943.03	Professional		$359.84	$591.79	$943.03
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 $407.44 / $554.63 / $912.25	Professional		$407.44	$554.63	$912.25