Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.10 / $2,870.00 / $4,387.00	Facility		$259.10	$2,870.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $194.33 / $194.33 / $214.95	Facility	54	$194.33	$194.33	$214.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $259.10 / $946.00	Professional		$178.40	$259.10	$946.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $143.12 / $194.33 / $817.59	Professional	54	$143.12	$194.33	$817.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.04 / $283.10 / $414.26	Professional		$209.04	$283.10	$414.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $148.85 / $221.89	Professional		$28.59	$148.85	$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 $277.62 / $346.75 / $502.36	Professional		$277.62	$346.75	$502.36
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 $190.38 / $232.36 / $348.52	Professional		$190.38	$232.36	$348.52