Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.31 / $2,833.00 / $4,387.00	Facility		$165.31	$2,833.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $123.98 / $123.98 / $142.16	Facility	54	$123.98	$123.98	$142.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $165.31 / $604.00	Professional		$115.43	$165.31	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $176.76 / $268.60	Professional		$128.97	$176.76	$268.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $90.56 / $127.13	Professional		$25.98	$90.56	$127.13
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 $168.40 / $213.47 / $319.89	Professional		$168.40	$213.47	$319.89
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 $124.50 / $153.79 / $236.05	Professional		$124.50	$153.79	$236.05