Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.94 / $2,910.00 / $4,387.00	Facility		$462.94	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $347.21 / $347.21 / $381.48	Facility	54	$347.21	$347.21	$381.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.38 / $462.94 / $1,748.00	Professional		$328.38	$462.94	$1,748.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.27 / $485.90 / $734.65	Professional		$347.27	$485.90	$734.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $242.06 / $399.18	Professional		$29.53	$242.06	$399.18
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 $478.23 / $610.04 / $871.32	Professional		$478.23	$610.04	$871.32
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 $327.00 / $414.20 / $643.11	Professional		$327.00	$414.20	$643.11