Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $2,870.00 / $4,387.00	Facility		$409.90	$2,870.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $307.43 / $307.43 / $317.57	Facility	54	$307.43	$307.43	$317.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $371.25 / $1,517.00	Professional		$284.64	$371.25	$1,517.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.58 / $416.90 / $610.40	Professional		$306.58	$416.90	$610.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $183.28 / $308.19	Professional		$29.46	$183.28	$308.19
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 $413.83 / $505.64 / $719.70	Professional		$413.83	$505.64	$719.70
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 $268.20 / $331.15 / $545.72	Professional		$268.20	$331.15	$545.72