Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $57.20 / $738.64	Facility		$27.00	$57.20	$738.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $22.95 / $30.84	Professional		$12.49	$22.95	$30.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.38 / $36.86 / $90.43	Professional	50	$19.38	$36.86	$90.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.73 / $11.38 / $12.96	Professional	52	$10.73	$11.38	$12.96
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $4.29 / $4.55 / $5.18	Professional	53	$4.29	$4.55	$5.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $23.60 / $27.27	Professional		$19.96	$23.60	$27.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $25.92 / $33.18	Facility		$15.03	$25.92	$33.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $25.08 / $30.40	Professional		$24.15	$25.08	$30.40
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $32.29 / $32.29 / $64.69	Professional	50	$32.29	$32.29	$64.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $26.64 / $32.34	Professional		$23.91	$26.64	$32.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $154.29 / $191.70	Facility		$110.27	$154.29	$191.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $24.55 / $24.55	Professional		$23.97	$24.55	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $18.00 / $28.41	Professional		$13.68	$18.00	$28.41