Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.08 / $2,910.00 / $4,387.00	Facility		$281.08	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.81 / $210.81 / $236.34	Facility	54	$210.81	$210.81	$236.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $281.08 / $1,047.00	Professional		$196.25	$281.08	$1,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.29 / $298.37 / $470.54	Professional		$214.29	$298.37	$470.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $158.65 / $221.89	Professional		$28.59	$158.65	$221.89
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 $285.02 / $374.35 / $543.84	Professional		$285.02	$374.35	$543.84
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 $202.50 / $251.23 / $397.29	Professional		$202.50	$251.23	$397.29