Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.66 / $2,910.00 / $4,387.00	Facility		$405.66	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $304.25 / $326.27 / $853.05	Facility	54	$304.25	$326.27	$853.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $394.13 / $1,391.00	Professional		$273.88	$394.13	$1,391.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.04 / $426.63 / $638.85	Professional		$311.04	$426.63	$638.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $201.06 / $336.40	Professional		$29.46	$201.06	$336.40
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 $431.24 / $522.73 / $744.55	Professional		$431.24	$522.73	$744.55
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 $282.33 / $347.85 / $567.01	Professional		$282.33	$347.85	$567.01