Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.84 / $2,910.00 / $4,387.00	Facility		$327.84	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.88 / $245.88 / $272.11	Facility	54	$245.88	$245.88	$272.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $327.84 / $1,352.37	Professional		$243.00	$327.84	$1,352.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.29 / $352.99 / $564.84	Professional		$253.29	$352.99	$564.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $175.01 / $300.66	Professional		$29.46	$175.01	$300.66
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 $354.65 / $450.65 / $632.72	Professional		$354.65	$450.65	$632.72
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 $235.48 / $295.98 / $480.85	Professional		$235.48	$295.98	$480.85