Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,066.73 / $3,819.00 / $6,792.94	Facility		$2,066.73	$3,819.00	$6,792.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,169.29 / $12,570.06 / $12,570.06	Facility	50	$5,169.29	$12,570.06	$12,570.06
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $156.27 / $156.27 / $156.27	Facility	53	$156.27	$156.27	$156.27
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $586.01 / $586.01 / $586.01	Facility	54	$586.01	$586.01	$586.01
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $117.20 / $117.20 / $117.20	Facility	55	$117.20	$117.20	$117.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.78 / $781.35 / $1,215.31	Professional		$552.78	$781.35	$1,215.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,568.06 / $1,568.06 / $1,568.06	Professional	50	$1,568.06	$1,568.06	$1,568.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $276.39 / $390.68 / $582.57	Professional	52	$276.39	$390.68	$582.57
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $82.82 / $586.01 / $873.85	Professional	54	$82.82	$586.01	$873.85
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $9.80 / $117.20 / $174.77	Professional	55	$9.80	$117.20	$174.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,819.00 / $3,819.00 / $3,819.00	Facility		$3,819.00	$3,819.00	$3,819.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.85 / $847.83 / $1,091.30	Professional		$507.85	$847.83	$1,091.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $310.00 / $495.58	Professional		$61.01	$310.00	$495.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,435.37 / $4,418.50 / $6,439.02	Facility		$3,435.37	$4,418.50	$6,439.02
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,153.06 / $6,627.75 / $9,658.53	Facility	50	$5,153.06	$6,627.75	$9,658.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $702.33 / $780.37 / $1,395.93	Professional		$702.33	$780.37	$1,395.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,819.00 / $7,048.00	Facility		$1,981.00	$3,819.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.82 / $608.53 / $894.07	Professional		$501.82	$608.53	$894.07