Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.48 / $1,723.65 / $5,213.18	Facility		$178.48	$1,723.65	$5,213.18
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.24 / $89.24 / $144.60	Facility	52	$89.24	$89.24	$144.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.70 / $35.70 / $57.84	Facility	53	$35.70	$35.70	$57.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $256.74 / $458.82	Professional		$77.50	$256.74	$458.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $50.84 / $108.87 / $163.41	Professional	52	$50.84	$108.87	$163.41
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $20.32 / $57.84 / $91.76	Professional	53	$20.32	$57.84	$91.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $252.72 / $437.29	Professional		$110.47	$252.72	$437.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $200.18 / $260.51	Professional		$161.69	$200.18	$260.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $951.73 / $1,295.21 / $1,887.49	Facility		$951.73	$1,295.21	$1,887.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $288.48 / $425.89	Professional		$115.07	$288.48	$425.89
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $2,790.00 / $4,912.00	Facility		$658.00	$2,790.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $248.75 / $431.29	Professional		$187.20	$248.75	$431.29