Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.03 / $384.74 / $4,387.00	Facility		$360.03	$384.74	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $270.02 / $288.56 / $516.79	Facility	54	$270.02	$288.56	$516.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $360.03 / $1,248.00	Professional		$245.16	$360.03	$1,248.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $201.29 / $270.02 / $1,123.19	Professional	54	$201.29	$270.02	$1,123.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $372.73 / $578.42	Professional		$280.45	$372.73	$578.42
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 $392.51 / $471.71 / $668.35	Professional		$392.51	$471.71	$668.35
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 $255.00 / $315.23 / $519.44	Professional		$255.00	$315.23	$519.44