Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.78 / $5,494.00 / $8,649.00	Facility		$459.78	$5,494.00	$8,649.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $174.12 / $174.12 / $229.89	Facility	52	$174.12	$174.12	$229.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.65 / $91.96 / $91.96	Facility	53	$69.65	$91.96	$91.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $459.78 / $2,372.46	Professional		$264.45	$459.78	$2,372.46
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $53.50 / $91.96 / $375.27	Professional	53	$53.50	$91.96	$375.27
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 $317.94 / $421.19 / $2,374.77	Professional		$317.94	$421.19	$2,374.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $829.32 / $1,016.69 / $1,260.51	Professional		$829.32	$1,016.69	$1,260.51
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 $334.58 / $587.36 / $1,912.24	Professional		$334.58	$587.36	$1,912.24
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 $388.96 / $1,386.35 / $2,851.92	Professional		$388.96	$1,386.35	$2,851.92