Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.68 / $2,910.00 / $4,387.00	Facility		$312.68	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.51 / $234.51 / $258.99	Facility	54	$234.51	$234.51	$258.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.69 / $312.68 / $1,214.00	Professional		$226.69	$312.68	$1,214.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.25 / $332.77 / $531.47	Professional		$240.25	$332.77	$531.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $185.41 / $254.26	Professional		$27.68	$185.41	$254.26
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 $332.89 / $417.26 / $596.74	Professional		$332.89	$417.26	$596.74
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 $223.20 / $285.75 / $453.75	Professional		$223.20	$285.75	$453.75