Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.91 / $2,164.00 / $4,387.00	Facility		$427.91	$2,164.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $320.93 / $320.93 / $348.56	Facility	54	$320.93	$320.93	$348.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $427.91 / $1,629.00	Professional		$288.17	$427.91	$1,629.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $445.48 / $695.46	Professional		$322.02	$445.48	$695.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $212.03 / $338.37	Professional		$29.53	$212.03	$338.37
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 $439.51 / $555.89 / $796.49	Professional		$439.51	$555.89	$796.49
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 $297.30 / $376.58 / $597.71	Professional		$297.30	$376.58	$597.71