Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.61 / $1,611.67 / $4,387.00	Facility		$393.61	$1,611.67	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $295.20 / $295.20 / $322.83	Facility	54	$295.20	$295.20	$322.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $340.45 / $1,408.00	Professional		$266.07	$340.45	$1,408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.99 / $411.73 / $655.16	Professional		$295.99	$411.73	$655.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $166.78 / $341.22	Professional		$28.81	$166.78	$341.22
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 $405.13 / $519.49 / $735.51	Professional		$405.13	$519.49	$735.51
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 $271.32 / $344.19 / $569.20	Professional		$271.32	$344.19	$569.20