Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $390.72 / $564.03	Facility		$128.27	$390.72	$564.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $128.27 / $401.00	Professional		$57.06	$128.27	$401.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $142.66 / $212.77	Professional		$72.20	$142.66	$212.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $90.31 / $110.94	Professional		$70.11	$90.31	$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 $63.84 / $116.22 / $184.44	Professional		$63.84	$116.22	$184.44
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 $98.01 / $120.69 / $190.81	Professional		$98.01	$120.69	$190.81