Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.49 / $2,910.00 / $4,387.00	Facility		$503.49	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $377.62 / $377.62 / $404.20	Facility	54	$377.62	$377.62	$404.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.92 / $463.51 / $1,396.00	Professional		$288.92	$463.51	$1,396.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.63 / $440.64 / $628.98	Professional		$284.63	$440.64	$628.98
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 $394.25 / $483.17 / $690.70	Professional		$394.25	$483.17	$690.70
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 $265.06 / $348.00 / $530.05	Professional		$265.06	$348.00	$530.05