Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.82 / $2,910.00 / $4,387.00	Facility		$407.82	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $305.87 / $305.87 / $338.74	Facility	54	$305.87	$305.87	$338.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.43 / $407.82 / $1,643.80	Professional		$293.43	$407.82	$1,643.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $430.97 / $675.65	Professional		$309.70	$430.97	$675.65
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 $428.63 / $545.53 / $777.24	Professional		$428.63	$545.53	$777.24
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 $294.52 / $376.96 / $595.20	Professional		$294.52	$376.96	$595.20