Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $98.06 / $4,387.00	Facility		$44.54	$98.06	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $75.59 / $148.69	Professional		$51.76	$75.59	$148.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.82 / $39.78 / $49.03	Professional	52	$26.82	$39.78	$49.03
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $10.73 / $15.91 / $19.61	Professional	53	$10.73	$15.91	$19.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $86.52 / $120.70	Professional		$61.10	$86.52	$120.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $57.10 / $72.32	Professional		$47.18	$57.10	$72.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $281.83 / $377.82 / $550.59	Facility		$281.83	$377.82	$550.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $101.29 / $138.04	Professional		$66.23	$101.29	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $86.87 / $141.13	Professional		$64.68	$86.87	$141.13