Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.39 / $3,038.00 / $4,387.00	Facility		$294.39	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $1,039.74 / $1,109.30	Professional		$294.39	$1,039.74	$1,109.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $515.91 / $718.70 / $1,042.92	Professional		$515.91	$718.70	$1,042.92
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 $372.73 / $492.00 / $742.18	Professional		$372.73	$492.00	$742.18