Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $3,038.00 / $4,387.00	Facility		$71.86	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $73.06 / $79.31	Professional		$49.99	$73.06	$79.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $99.22 / $99.22	Professional		$99.22	$99.22	$99.22
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 Facility Modifier Low / Median / High Price $58.21 / $72.58 / $104.20	Facility		$58.21	$72.58	$104.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $85.03 / $107.52	Professional		$72.28	$85.03	$107.52
United Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $86.19 / $117.92	Professional		$66.30	$86.19	$117.92