Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.15 / $2,910.00 / $4,387.00	Facility		$370.15	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $277.61 / $277.61 / $304.54	Facility	54	$277.61	$277.61	$304.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.72 / $333.43 / $795.98	Professional		$251.72	$333.43	$795.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.44 / $392.05 / $592.59	Professional		$281.44	$392.05	$592.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $176.63 / $301.88	Professional		$29.46	$176.63	$301.88
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 $388.15 / $490.31 / $699.34	Professional		$388.15	$490.31	$699.34
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 $263.81 / $316.80 / $528.00	Professional		$263.81	$316.80	$528.00