Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.72 / $2,910.00 / $4,387.00	Facility		$394.72	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.04 / $296.04 / $324.37	Facility	54	$296.04	$296.04	$324.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $324.32 / $694.49	Professional		$266.30	$324.32	$694.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.49 / $415.36 / $661.22	Professional		$298.49	$415.36	$661.22
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 $409.91 / $510.24 / $729.51	Professional		$409.91	$510.24	$729.51
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 $277.50 / $339.87 / $545.75	Professional		$277.50	$339.87	$545.75