Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,644.30 / $8,177.00 / $12,716.47	Facility		$4,644.30	$8,177.00	$12,716.47
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,235.00 / $6,235.00 / $6,235.00	Facility	22	$6,235.00	$6,235.00	$6,235.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $489.27 / $489.27 / $489.27	Facility	52	$489.27	$489.27	$489.27
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $195.71 / $195.71 / $195.71	Facility	53	$195.71	$195.71	$195.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.12 / $978.54 / $2,734.43	Professional		$611.12	$978.54	$2,734.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,177.00 / $8,177.00 / $8,177.00	Facility		$8,177.00	$8,177.00	$8,177.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.88 / $951.06 / $1,385.74	Professional		$677.88	$951.06	$1,385.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $468.61 / $637.46	Professional		$56.28	$468.61	$637.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,370.62 / $10,940.20 / $15,943.01	Facility		$8,370.62	$10,940.20	$15,943.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $866.82 / $1,082.28 / $1,414.75	Professional		$866.82	$1,082.28	$1,414.75
United Facility/Professional Facility Modifier Low / Median / High Price $8,177.00 / $8,177.00 / $15,174.00	Facility		$8,177.00	$8,177.00	$15,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.78 / $827.37 / $1,323.82	Professional		$596.78	$827.37	$1,323.82