Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.70 / $2,910.00 / $4,387.00	Facility		$327.70	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.78 / $245.78 / $267.81	Facility	54	$245.78	$245.78	$267.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.30 / $304.98 / $865.17	Professional		$221.30	$304.98	$865.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.43 / $352.21 / $554.13	Professional		$252.43	$352.21	$554.13
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 $352.91 / $446.19 / $622.22	Professional		$352.91	$446.19	$622.22
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 $233.10 / $287.29 / $470.83	Professional		$233.10	$287.29	$470.83