Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.30 / $2,370.88 / $4,387.00	Facility		$678.30	$2,370.88	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.47 / $147.47 / $260.04	Facility	52	$147.47	$147.47	$260.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $58.99 / $104.01 / $1,268.00	Facility	53	$58.99	$104.01	$1,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.17 / $358.72 / $813.87	Professional		$180.17	$358.72	$813.87
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $52.32 / $104.01 / $291.79	Professional	53	$52.32	$104.01	$291.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $1,345.00 / $1,345.00	Facility		$1,345.00	$1,345.00	$1,345.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.95 / $375.52 / $624.41	Professional		$236.95	$375.52	$624.41
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $68.08 / $143.90 / $220.49	Professional	53	$68.08	$143.90	$220.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.48 / $205.67 / $307.31	Professional		$128.48	$205.67	$307.31
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 $260.82 / $443.42 / $699.21	Professional		$260.82	$443.42	$699.21
Regence BlueShield Facility/Professional Professional Modifier 53 Low / Median / High Price $111.40 / $132.00 / $246.10	Professional	53	$111.40	$132.00	$246.10
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 $301.44 / $414.48 / $644.49	Professional		$301.44	$414.48	$644.49
United Facility/Professional Professional Modifier 53 Low / Median / High Price $100.92 / $100.92 / $220.49	Professional	53	$100.92	$100.92	$220.49