Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $2,910.00 / $4,387.00	Facility		$91.28	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $238.72 / $384.17	Professional		$91.28	$238.72	$384.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $321.02 / $461.18	Professional		$108.61	$321.02	$461.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $200.18 / $258.70	Professional		$160.96	$200.18	$258.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $182.18 / $444.61	Professional		$102.99	$182.18	$444.61
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 $263.64 / $307.43 / $577.44	Professional		$263.64	$307.43	$577.44