Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.63 / $2,910.00 / $4,387.00	Facility		$291.63	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $218.72 / $219.77 / $609.67	Facility	54	$218.72	$219.77	$609.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $235.95 / $961.00	Professional		$180.59	$235.95	$961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.28 / $306.70 / $486.83	Professional		$217.28	$306.70	$486.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $141.81 / $194.07	Professional		$25.98	$141.81	$194.07
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 $305.48 / $360.87 / $506.72	Professional		$305.48	$360.87	$506.72
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 $189.60 / $233.84 / $372.89	Professional		$189.60	$233.84	$372.89