Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.56 / $442.01 / $3,294.00	Facility		$246.56	$442.01	$3,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $72.33 / $72.33 / $85.06	Facility	54	$72.33	$72.33	$85.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $123.06 / $298.49	Professional		$84.48	$123.06	$298.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $139.54 / $199.27	Professional		$109.77	$139.54	$199.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $90.31 / $112.17	Professional		$70.11	$90.31	$112.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $379.59 / $553.17	Facility		$297.07	$379.59	$553.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $141.57 / $179.06	Professional		$118.82	$141.57	$179.06
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $4,445.00 / $4,912.00	Facility		$658.00	$4,445.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $120.40 / $172.70	Professional		$97.16	$120.40	$172.70