Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $3,038.00 / $4,387.00	Facility		$28.00	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $28.00 / $28.00	Professional		$6.28	$28.00	$28.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $80.00	Professional		$30.00	$45.00	$80.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $7.66 / $19.98	Professional		$6.89	$7.66	$19.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.93 / $6.93	Professional		$5.50	$6.93	$6.93