Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.22 / $2,910.00 / $4,387.00	Facility		$241.22	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $180.92 / $180.92 / $195.61	Facility	54	$180.92	$180.92	$195.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $241.22 / $857.00	Professional		$162.06	$241.22	$857.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $132.13 / $180.92 / $740.87	Professional	54	$132.13	$180.92	$740.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $252.34 / $387.93	Professional		$186.58	$252.34	$387.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $120.45 / $190.84	Professional		$25.98	$120.45	$190.84
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 $259.79 / $314.81 / $449.65	Professional		$259.79	$314.81	$449.65
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 $168.60 / $209.42 / $339.61	Professional		$168.60	$209.42	$339.61