Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.32 / $2,910.00 / $4,387.00	Facility		$341.32	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.99 / $269.63 / $833.84	Facility	54	$255.99	$269.63	$833.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $268.47 / $579.03	Professional		$222.33	$268.47	$579.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.13 / $351.50 / $520.70	Professional		$260.13	$351.50	$520.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $143.13 / $310.65	Professional		$28.81	$143.13	$310.65
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 $354.65 / $431.53 / $618.11	Professional		$354.65	$431.53	$618.11
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 $231.30 / $283.27 / $447.18	Professional		$231.30	$283.27	$447.18