Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.29 / $1,796.33 / $4,626.00	Facility		$275.29	$1,796.33	$4,626.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $137.65 / $137.65 / $242.70	Facility	52	$137.65	$137.65	$242.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.06 / $78.45 / $167.80	Facility	53	$55.06	$78.45	$167.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $275.29 / $533.94	Professional		$161.10	$275.29	$533.94
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.46 / $78.45 / $167.80	Professional	53	$38.46	$78.45	$167.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.90 / $41.90 / $88.55	Professional	53	$41.90	$41.90	$88.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.48 / $205.67 / $302.18	Professional		$128.48	$205.67	$302.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,312.82 / $1,732.91 / $2,525.35	Facility		$1,312.82	$1,732.91	$2,525.35
Regence BlueShield Facility/Professional Facility Modifier 53 Low / Median / High Price $1,444.44 / $1,444.44 / $1,444.44	Facility	53	$1,444.44	$1,444.44	$1,444.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $349.74 / $550.04	Professional		$194.40	$349.74	$550.04
Regence BlueShield Facility/Professional Professional Modifier 53 Low / Median / High Price $88.88 / $104.56 / $194.95	Professional	53	$88.88	$104.56	$194.95
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 $305.27 / $423.45 / $698.17	Professional		$305.27	$423.45	$698.17
United Facility/Professional Professional Modifier 53 Low / Median / High Price $172.50 / $172.50 / $204.61	Professional	53	$172.50	$172.50	$204.61