Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.20 / $403.57 / $4,387.00	Facility		$367.20	$403.57	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.39 / $302.68 / $803.48	Facility	54	$275.39	$302.68	$803.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.40 / $330.37 / $657.07	Professional		$250.40	$330.37	$657.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.51 / $388.80 / $591.22	Professional		$279.51	$388.80	$591.22
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 $388.15 / $484.85 / $691.75	Professional		$388.15	$484.85	$691.75
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 $262.26 / $324.12 / $528.57	Professional		$262.26	$324.12	$528.57