Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.99 / $2,639.57 / $4,312.00	Facility		$355.99	$2,639.57	$4,312.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $266.99 / $292.87 / $809.66	Facility	54	$266.99	$292.87	$809.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.69 / $368.81 / $1,395.00	Professional		$241.69	$368.81	$1,395.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $697.02 / $820.03 / $952.62	Professional	50	$697.02	$820.03	$952.62
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $227.72 / $266.99 / $1,264.75	Professional	54	$227.72	$266.99	$1,264.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $418.35 / $649.29	Professional		$291.14	$418.35	$649.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $201.06 / $336.40	Professional		$29.46	$201.06	$336.40
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 $442.98 / $530.54 / $745.93	Professional		$442.98	$530.54	$745.93
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 $275.14 / $342.36 / $557.40	Professional		$275.14	$342.36	$557.40