Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $2,910.00 / $4,387.00	Facility		$297.62	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $223.22 / $223.22 / $223.57	Facility	54	$223.22	$223.22	$223.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $231.99 / $901.00	Professional		$183.28	$231.99	$901.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.92 / $302.12 / $458.78	Professional		$229.92	$302.12	$458.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $158.65 / $221.89	Professional		$28.59	$158.65	$221.89
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 $323.32 / $381.79 / $524.46	Professional		$323.32	$381.79	$524.46
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 $199.46 / $253.46 / $394.94	Professional		$199.46	$253.46	$394.94