Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.12 / $2,910.00 / $4,387.00	Facility		$622.12	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $466.59 / $466.59 / $510.30	Facility	54	$466.59	$466.59	$510.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $517.29 / $2,369.48	Professional		$413.35	$517.29	$2,369.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.29 / $631.83 / $1,004.99	Professional		$454.29	$631.83	$1,004.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $301.83 / $463.40	Professional		$61.47	$301.83	$463.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,304.17 / $3,047.35 / $4,440.85	Facility		$2,304.17	$3,047.35	$4,440.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $610.52 / $788.27 / $1,154.38	Professional		$610.52	$788.27	$1,154.38
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 $430.19 / $526.52 / $865.27	Professional		$430.19	$526.52	$865.27