Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.50 / $796.06 / $3,977.00	Facility		$374.50	$796.06	$3,977.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $187.25 / $187.25 / $203.34	Facility	52	$187.25	$187.25	$203.34
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $280.88 / $602.45 / $865.53	Facility	54	$280.88	$602.45	$865.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.31 / $374.50 / $937.60	Professional		$248.31	$374.50	$937.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.25 / $405.18 / $639.29	Professional		$290.25	$405.18	$639.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $186.96 / $340.54	Professional		$29.53	$186.96	$340.54
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 $409.04 / $503.81 / $700.72	Professional		$409.04	$503.81	$700.72
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 $266.22 / $330.48 / $541.62	Professional		$266.22	$330.48	$541.62