Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.35 / $473.46 / $4,387.00	Facility		$190.35	$473.46	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $125.62 / $125.62 / $142.76	Facility	54	$125.62	$125.62	$142.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $192.60 / $612.04	Professional		$143.13	$192.60	$612.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.31 / $249.54 / $338.04	Professional		$191.31	$249.54	$338.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.48 / $157.07 / $201.45	Professional		$128.48	$157.07	$201.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $571.79 / $756.04 / $1,101.77	Facility		$571.79	$756.04	$1,101.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $205.16 / $258.49 / $318.99	Professional		$205.16	$258.49	$318.99
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 $165.54 / $214.92 / $302.24	Professional		$165.54	$214.92	$302.24