Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.18 / $2,910.00 / $4,387.00	Facility		$681.18	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $510.89 / $540.61 / $940.25	Facility	54	$510.89	$540.61	$940.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.51 / $537.04 / $2,613.90	Professional		$463.51	$537.04	$2,613.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.50 / $690.87 / $1,048.75	Professional		$496.50	$690.87	$1,048.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $320.52 / $495.77	Professional		$61.47	$320.52	$495.77
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 $667.09 / $820.03 / $1,222.52	Professional		$667.09	$820.03	$1,222.52
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 $458.37 / $558.33 / $890.31	Professional		$458.37	$558.33	$890.31