Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.41 / $3,163.71 / $7,511.00	Facility		$447.41	$3,163.71	$7,511.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,581.64 / $1,581.64 / $6,536.70	Facility	50	$1,581.64	$1,581.64	$6,536.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.71 / $223.71 / $223.71	Facility	52	$223.71	$223.71	$223.71
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $89.48 / $89.48 / $89.48	Facility	53	$89.48	$89.48	$89.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.80 / $447.41 / $724.00	Professional		$289.80	$447.41	$724.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.82 / $445.77 / $650.97	Professional		$362.82	$445.77	$650.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.02 / $274.34 / $356.64	Professional		$236.02	$274.34	$356.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,086.24 / $6,609.94 / $9,632.58	Facility		$5,086.24	$6,609.94	$9,632.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $388.59 / $589.78 / $693.86	Professional		$388.59	$589.78	$693.86
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 $287.43 / $380.68 / $627.12	Professional		$287.43	$380.68	$627.12