Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.15 / $2,910.00 / $4,387.00	Facility		$159.15	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $119.36 / $119.36 / $122.16	Facility	54	$119.36	$119.36	$122.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $131.93 / $524.00	Professional		$102.23	$131.93	$524.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $82.46 / $119.36 / $479.69	Professional	54	$82.46	$119.36	$479.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.89 / $162.00 / $230.27	Professional		$115.89	$162.00	$230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $68.55 / $100.72	Professional		$25.23	$68.55	$100.72
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 $163.18 / $191.94 / $284.27	Professional		$163.18	$191.94	$284.27
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 $105.00 / $131.36 / $208.20	Professional		$105.00	$131.36	$208.20