Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.62 / $2,833.00 / $4,387.00	Facility		$316.62	$2,833.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $237.47 / $237.47 / $259.50	Facility	54	$237.47	$237.47	$259.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $316.62 / $1,170.00	Professional		$215.43	$316.62	$1,170.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.98 / $336.83 / $530.02	Professional		$242.98	$336.83	$530.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $180.62 / $253.92	Professional		$25.98	$180.62	$253.92
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 $336.81 / $416.50 / $594.89	Professional		$336.81	$416.50	$594.89
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 $222.90 / $274.91 / $443.09	Professional		$222.90	$274.91	$443.09