Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.38 / $243.18 / $4,387.00	Facility		$240.38	$243.18	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $180.29 / $180.29 / $182.39	Facility	54	$180.29	$180.29	$182.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $196.07 / $783.00	Professional		$150.16	$196.07	$783.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.52 / $245.48 / $410.91	Professional		$184.52	$245.48	$410.91
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 $258.05 / $295.20 / $419.71	Professional		$258.05	$295.20	$419.71
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 $157.79 / $197.39 / $319.20	Professional		$157.79	$197.39	$319.20