Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.29 / $2,277.00 / $4,312.00	Facility		$275.29	$2,277.00	$4,312.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $137.65 / $137.65 / $242.70	Facility	52	$137.65	$137.65	$242.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.06 / $90.21 / $167.80	Facility	53	$55.06	$90.21	$167.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $277.62 / $743.61	Professional		$174.22	$277.62	$743.61
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.54 / $78.45 / $181.75	Professional	53	$38.54	$78.45	$181.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.90 / $41.90 / $88.55	Professional	53	$41.90	$41.90	$88.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.48 / $205.67 / $302.18	Professional		$128.48	$205.67	$302.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,312.82 / $1,732.91 / $2,525.35	Facility		$1,312.82	$1,732.91	$2,525.35
Regence BlueShield Facility/Professional Facility Modifier 53 Low / Median / High Price $1,444.44 / $1,444.44 / $1,444.44	Facility	53	$1,444.44	$1,444.44	$1,444.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $349.74 / $550.04	Professional		$194.76	$349.74	$550.04
Regence BlueShield Facility/Professional Professional Modifier 53 Low / Median / High Price $89.20 / $104.94 / $195.33	Professional	53	$89.20	$104.94	$195.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.32 / $419.15 / $699.65	Professional		$292.32	$419.15	$699.65
United Facility/Professional Professional Modifier 53 Low / Median / High Price $159.44 / $159.44 / $204.84	Professional	53	$159.44	$159.44	$204.84