Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.30 / $2,066.19 / $3,977.00	Facility		$124.30	$2,066.19	$3,977.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.86 / $24.86 / $59.55	Facility	53	$24.86	$24.86	$59.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $189.91 / $455.82	Professional		$82.10	$189.91	$455.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $169.26 / $342.09	Professional		$102.42	$169.26	$342.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $172.11 / $222.49	Professional		$137.38	$172.11	$222.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.93 / $263.67 / $479.17	Professional		$142.93	$263.67	$479.17
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 $186.78 / $226.40 / $361.62	Professional		$186.78	$226.40	$361.62