Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.89 / $2,007.33 / $5,425.63	Facility		$732.89	$2,007.33	$5,425.63
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.46 / $116.46 / $226.18	Facility	52	$116.46	$116.46	$226.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.58 / $46.58 / $90.47	Facility	53	$46.58	$46.58	$90.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $232.91 / $731.18	Professional		$74.22	$232.91	$731.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $1,787.00 / $1,787.00	Facility		$1,787.00	$1,787.00	$1,787.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.30 / $375.36 / $686.00	Professional		$189.30	$375.36	$686.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.92 / $295.25 / $376.38	Professional		$231.92	$295.25	$376.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,338.59 / $1,718.74 / $2,504.69	Facility		$1,338.59	$1,718.74	$2,504.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $195.13 / $417.22 / $715.30	Professional		$195.13	$417.22	$715.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $425.20 / $701.57	Professional		$319.68	$425.20	$701.57