Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.79 / $2,910.00 / $4,387.00	Facility		$647.79	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $485.85 / $485.85 / $490.40	Facility	54	$485.85	$485.85	$490.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.38 / $647.79 / $2,502.30	Professional		$443.38	$647.79	$2,502.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.92 / $655.71 / $1,046.15	Professional		$466.92	$655.71	$1,046.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $301.83 / $465.59	Professional		$61.47	$301.83	$465.59
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 $640.98 / $769.67 / $1,107.99	Professional		$640.98	$769.67	$1,107.99
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 $416.69 / $502.46 / $805.61	Professional		$416.69	$502.46	$805.61