Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.57 / $2,744.00 / $4,626.00	Facility		$114.57	$2,744.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $146.76 / $492.66	Professional		$77.13	$146.76	$492.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $176.22 / $250.54	Professional		$128.30	$176.22	$250.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $119.29 / $149.57	Professional		$93.03	$119.29	$149.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,029.45 / $1,334.02 / $1,944.04	Facility		$1,029.45	$1,334.02	$1,944.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.40 / $177.82 / $239.86	Professional		$121.40	$177.82	$239.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $163.85 / $267.87	Professional		$131.08	$163.85	$267.87