Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $142.43 / $4,291.00	Facility		$28.58	$142.43	$4,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $35.35 / $166.73	Professional		$17.64	$35.35	$166.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $38.00 / $53.89	Professional		$20.97	$38.00	$53.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $29.37 / $37.72	Professional		$22.92	$29.37	$37.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $36.26 / $54.85	Professional		$18.45	$36.26	$54.85
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 $28.01 / $34.29 / $55.11	Professional		$28.01	$34.29	$55.11