Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.36 / $2,870.00 / $4,387.00	Facility		$193.36	$2,870.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $145.02 / $145.02 / $160.40	Facility	54	$145.02	$145.02	$160.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $171.05 / $761.74	Professional		$131.68	$171.05	$761.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.82 / $202.87 / $320.26	Professional		$146.82	$202.87	$320.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $101.70 / $156.39	Professional		$28.59	$101.70	$156.39
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 $193.64 / $252.51 / $372.80	Professional		$193.64	$252.51	$372.80
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 $139.19 / $169.77 / $275.52	Professional		$139.19	$169.77	$275.52