Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.26 / $2,870.00 / $4,387.00	Facility		$114.26	$2,870.00	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $57.13 / $66.70 / $70.59	Facility	52	$57.13	$66.70	$70.59
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.85 / $22.85 / $28.24	Facility	53	$22.85	$22.85	$28.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $148.72 / $220.07	Professional		$93.34	$148.72	$220.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.78 / $57.13 / $88.95	Professional	52	$36.78	$57.13	$88.95
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $18.70 / $24.78 / $35.58	Professional	53	$18.70	$24.78	$35.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $125.07 / $169.35	Professional		$88.04	$125.07	$169.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $85.31 / $110.94	Professional		$69.23	$85.31	$110.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $281.83 / $377.82 / $550.59	Facility		$281.83	$377.82	$550.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $162.04 / $199.34	Professional		$91.38	$162.04	$199.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $133.44 / $201.60	Professional		$92.40	$133.44	$201.60