Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.31 / $2,910.00 / $4,387.00	Facility		$310.31	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $232.73 / $232.73 / $237.63	Facility	54	$232.73	$232.73	$237.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.41 / $247.40 / $503.48	Professional		$195.41	$247.40	$503.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.63 / $311.82 / $488.27	Professional		$234.63	$311.82	$488.27
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 $320.70 / $383.92 / $548.36	Professional		$320.70	$383.92	$548.36
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 $200.26 / $247.53 / $394.71	Professional		$200.26	$247.53	$394.71