Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.72 / $3,534.00 / $5,743.00	Facility		$314.72	$3,534.00	$5,743.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.36 / $157.36 / $561.85	Facility	52	$157.36	$157.36	$561.85
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.94 / $62.94 / $224.74	Facility	53	$62.94	$62.94	$224.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.14 / $821.23 / $1,584.40	Professional		$220.14	$821.23	$1,584.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.17 / $920.06 / $1,548.49	Professional		$279.17	$920.06	$1,548.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $584.32 / $735.41 / $929.31	Professional		$584.32	$735.41	$929.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,962.05 / $3,861.91 / $5,627.91	Facility		$2,962.05	$3,861.91	$5,627.91
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,443.08 / $5,792.87 / $8,441.87	Facility	50	$4,443.08	$5,792.87	$8,441.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $517.16 / $1,721.50	Professional		$288.17	$517.16	$1,721.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,613.00 / $7,048.00	Facility		$1,981.00	$3,613.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.01 / $913.07 / $1,821.61	Professional		$817.01	$913.07	$1,821.61