Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.73 / $926.39 / $2,870.00	Facility		$360.73	$926.39	$2,870.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,552.50 / $1,552.50 / $1,552.50	Facility	52	$1,552.50	$1,552.50	$1,552.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.01 / $190.60 / $467.77	Professional		$78.01	$190.60	$467.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $256.13 / $458.77	Professional		$112.75	$256.13	$458.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $209.60 / $261.03	Professional		$163.99	$209.60	$261.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,050.47 / $1,326.87 / $1,910.81	Facility		$1,050.47	$1,326.87	$1,910.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $242.28 / $630.73	Professional		$139.47	$242.28	$630.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $325.60 / $466.20	Professional		$229.40	$325.60	$466.20