Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.36 / $3,160.00 / $5,824.00	Facility		$247.36	$3,160.00	$5,824.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.47 / $49.47 / $69.17	Facility	53	$49.47	$49.47	$69.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $260.55 / $452.42	Professional		$167.03	$260.55	$452.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,824.00 / $5,824.00 / $5,824.00	Facility		$5,824.00	$5,824.00	$5,824.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.41 / $312.99 / $594.65	Professional		$207.41	$312.99	$594.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $284.76 / $369.95	Professional		$230.20	$284.76	$369.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $5,927.75 / $8,638.43	Facility		$4,349.00	$5,927.75	$8,638.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $219.03 / $418.64 / $573.04	Professional		$219.03	$418.64	$573.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $5,824.00 / $7,048.00	Facility		$1,981.00	$5,824.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.66 / $333.36 / $666.72	Professional		$271.66	$333.36	$666.72