Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.08 / $2,910.00 / $4,387.00	Facility		$350.08	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $262.56 / $290.54 / $593.92	Facility	54	$262.56	$290.54	$593.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $291.32 / $1,408.05	Professional		$236.65	$291.32	$1,408.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.22 / $369.87 / $562.04	Professional		$265.22	$369.87	$562.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $176.63 / $301.88	Professional		$29.46	$176.63	$301.88
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 $365.53 / $464.62 / $665.16	Professional		$365.53	$464.62	$665.16
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 $246.12 / $305.62 / $493.24	Professional		$246.12	$305.62	$493.24