Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.38 / $2,910.00 / $4,312.00	Facility		$604.38	$2,910.00	$4,312.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $453.29 / $453.29 / $507.08	Facility	54	$453.29	$453.29	$507.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.38 / $676.10 / $1,483.05	Professional		$604.38	$676.10	$1,483.05
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $453.29 / $507.08 / $964.85	Professional	54	$453.29	$507.08	$964.85
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $90.66 / $101.42 / $192.97	Professional	55	$90.66	$101.42	$192.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.23 / $925.60 / $1,214.70	Professional		$528.23	$925.60	$1,214.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $384.92 / $667.53	Professional		$61.01	$384.92	$667.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,408.37 / $1,919.63 / $2,797.46	Facility		$1,408.37	$1,919.63	$2,797.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $835.50 / $1,000.85 / $1,320.63	Professional		$835.50	$1,000.85	$1,320.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.44 / $698.76 / $989.91	Professional		$580.44	$698.76	$989.91