Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $167.10 / $3,825.00	Facility		$47.53	$167.10	$3,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $18.73 / $33.06	Professional		$12.05	$18.73	$33.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.01 / $22.37 / $59.66	Professional	50	$19.01	$22.37	$59.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.95 / $6.95 / $12.96	Professional	52	$6.95	$6.95	$12.96
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.78 / $2.78 / $5.18	Professional	53	$2.78	$2.78	$5.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $20.14 / $28.75	Professional		$15.72	$20.14	$28.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $26.67 / $60.00	Professional		$20.86	$26.67	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $116.32 / $169.01	Facility		$92.09	$116.32	$169.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $22.01 / $23.21	Professional		$18.71	$22.01	$23.21
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 $12.24 / $14.44 / $28.81	Professional		$12.24	$14.44	$28.81