Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.02 / $950.11 / $4,312.00	Facility		$356.02	$950.11	$4,312.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $71.14 / $71.14 / $195.93	Facility	52	$71.14	$71.14	$195.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.45 / $78.37 / $78.37	Facility	53	$28.45	$78.37	$78.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $271.95 / $667.90	Professional		$84.78	$271.95	$667.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.84 / $308.05 / $530.38	Professional		$134.84	$308.05	$530.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.07 / $237.61 / $297.65	Professional		$186.07	$237.61	$297.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,338.59 / $1,718.74 / $2,504.69	Facility		$1,338.59	$1,718.74	$2,504.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $237.22 / $543.63	Professional		$150.85	$237.22	$543.63
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 $265.36 / $359.52 / $572.67	Professional		$265.36	$359.52	$572.67