Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.03 / $2,910.00 / $4,387.00	Facility		$410.03	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $307.52 / $307.52 / $336.55	Facility	54	$307.52	$307.52	$336.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.82 / $352.72 / $1,468.00	Professional		$277.82	$352.72	$1,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.74 / $427.62 / $638.55	Professional		$307.74	$427.62	$638.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $201.09 / $336.40	Professional		$29.46	$201.09	$336.40
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 $418.62 / $533.46 / $763.40	Professional		$418.62	$533.46	$763.40
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 $286.80 / $344.16 / $564.04	Professional		$286.80	$344.16	$564.04