Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.62 / $2,910.00 / $4,387.00	Facility		$384.62	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $288.47 / $318.19 / $799.97	Facility	54	$288.47	$318.19	$799.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $349.68 / $1,287.00	Professional		$259.72	$349.68	$1,287.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.55 / $402.16 / $600.00	Professional		$289.55	$402.16	$600.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $175.01 / $300.66	Professional		$29.46	$175.01	$300.66
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 $390.33 / $502.14 / $724.84	Professional		$390.33	$502.14	$724.84
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 $269.70 / $331.09 / $539.01	Professional		$269.70	$331.09	$539.01