Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $2,910.00 / $4,387.00	Facility		$67.14	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $148.58 / $223.05	Professional		$67.14	$148.58	$223.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.47 / $190.62 / $270.88	Professional		$79.47	$190.62	$270.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $114.56 / $147.46	Professional		$91.72	$114.56	$147.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $134.21 / $255.48	Professional		$73.48	$134.21	$255.48
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 $155.04 / $182.40 / $344.88	Professional		$155.04	$182.40	$344.88