Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.63 / $3,038.00 / $4,387.00	Facility		$248.63	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $95.43 / $248.63	Professional		$81.86	$95.43	$248.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $109.08 / $119.88	Professional		$109.08	$109.08	$119.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $169.30	Professional		$30.00	$60.00	$169.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $109.15 / $129.47	Professional		$96.52	$109.15	$129.47
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 $77.55 / $95.64 / $150.19	Professional		$77.55	$95.64	$150.19