Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.87 / $2,870.00 / $4,387.00	Facility		$382.87	$2,870.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $287.14 / $287.14 / $318.27	Facility	54	$287.14	$287.14	$318.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.97 / $333.82 / $1,544.75	Professional		$262.97	$333.82	$1,544.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $406.05 / $647.67	Professional		$291.14	$406.05	$647.67
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 $400.77 / $512.69 / $735.37	Professional		$400.77	$512.69	$735.37
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 $276.42 / $345.52 / $552.24	Professional		$276.42	$345.52	$552.24