Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.49 / $2,910.00 / $4,387.00	Facility		$374.49	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $280.87 / $280.87 / $307.10	Facility	54	$280.87	$280.87	$307.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.86 / $374.49 / $1,315.00	Professional		$243.86	$374.49	$1,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.33 / $393.41 / $628.86	Professional		$282.33	$393.41	$628.86
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 $387.72 / $488.28 / $698.17	Professional		$387.72	$488.28	$698.17
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 $266.22 / $363.11 / $533.39	Professional		$266.22	$363.11	$533.39