Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.21 / $405.31 / $808.57	Facility		$137.21	$405.31	$808.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $119.32 / $382.00	Professional		$52.68	$119.32	$382.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $133.33 / $193.05	Professional		$68.11	$133.33	$193.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $89.98 / $110.94	Professional		$70.11	$89.98	$110.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $379.59 / $553.17	Facility		$297.07	$379.59	$553.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $106.01 / $167.91	Professional		$61.25	$106.01	$167.91
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 $86.32 / $113.68 / $177.01	Professional		$86.32	$113.68	$177.01