Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.22 / $2,870.00 / $4,387.00	Facility		$280.22	$2,870.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.17 / $210.17 / $246.02	Facility	54	$210.17	$210.17	$246.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $280.22 / $590.14	Professional		$227.86	$280.22	$590.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $742.89 / $742.89 / $742.89	Professional	50	$742.89	$742.89	$742.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $210.17 / $246.02 / $379.20	Professional	54	$210.17	$246.02	$379.20
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $42.03 / $49.20 / $75.84	Professional	55	$42.03	$49.20	$75.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.57 / $392.47 / $525.41	Professional		$229.57	$392.47	$525.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $201.45 / $286.05	Professional		$26.80	$201.45	$286.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $832.54 / $1,102.11 / $1,606.11	Facility		$832.54	$1,102.11	$1,606.11
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,248.81 / $1,653.18 / $2,409.17	Facility	50	$1,248.81	$1,653.18	$2,409.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $327.14 / $423.59 / $573.54	Professional		$327.14	$423.59	$573.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.61 / $330.56 / $492.42	Professional		$263.61	$330.56	$492.42