Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $3,038.00 / $4,387.00	Facility		$400.00	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $105.14 / $400.00	Professional		$64.36	$105.14	$400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $127.31 / $127.31	Professional		$127.31	$127.31	$127.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $89.98 / $110.94	Professional		$70.11	$89.98	$110.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $379.59 / $553.17	Facility		$297.07	$379.59	$553.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $98.01 / $131.66	Professional		$67.91	$98.01	$131.66
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 $84.60 / $108.29 / $157.61	Professional		$84.60	$108.29	$157.61