Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.41 / $2,922.00 / $4,387.00	Facility		$259.41	$2,922.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $194.56 / $194.56 / $217.28	Facility	54	$194.56	$194.56	$217.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.38 / $220.46 / $685.59	Professional		$176.38	$220.46	$685.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.05 / $272.27 / $428.62	Professional		$196.05	$272.27	$428.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $131.45 / $188.61	Professional		$28.59	$131.45	$188.61
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 $258.48 / $328.53 / $494.47	Professional		$258.48	$328.53	$494.47
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 $185.61 / $224.59 / $379.80	Professional		$185.61	$224.59	$379.80