Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.27 / $2,910.00 / $4,387.00	Facility		$389.27	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $291.95 / $291.95 / $313.27	Facility	54	$291.95	$291.95	$313.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.41 / $300.45 / $1,530.35	Professional		$242.41	$300.45	$1,530.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.16 / $404.52 / $637.71	Professional		$283.16	$404.52	$637.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $195.01 / $280.36	Professional		$29.98	$195.01	$280.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $447.13 / $651.60	Facility		$340.97	$447.13	$651.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $395.99 / $482.12 / $768.36	Professional		$395.99	$482.12	$768.36
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 $252.70 / $317.52 / $513.29	Professional		$252.70	$317.52	$513.29