Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.66 / $1,007.38 / $4,312.00	Facility		$148.66	$1,007.38	$4,312.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $693.35 / $693.35 / $693.35	Facility	50	$693.35	$693.35	$693.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.09 / $15.09 / $29.73	Facility	53	$15.09	$15.09	$29.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $112.11 / $557.36	Professional		$50.96	$112.11	$557.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.93 / $122.49 / $273.70	Professional	50	$69.93	$122.49	$273.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $101.71 / $191.91	Professional		$62.47	$101.71	$191.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $89.98 / $110.94	Professional		$70.45	$89.98	$110.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.69 / $159.94 / $229.73	Professional		$84.69	$159.94	$229.73
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 $85.84 / $118.40 / $178.61	Professional		$85.84	$118.40	$178.61