Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.17 / $535.16 / $3,825.00	Facility		$191.17	$535.16	$3,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $256.39 / $607.05	Professional		$145.99	$256.39	$607.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.67 / $309.56 / $442.40	Professional		$198.67	$309.56	$442.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $190.44 / $261.03	Professional		$25.65	$190.44	$261.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $571.79 / $756.04 / $1,101.77	Facility		$571.79	$756.04	$1,101.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $298.67 / $392.68	Professional		$187.45	$298.67	$392.68
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 $222.47 / $278.97 / $477.51	Professional		$222.47	$278.97	$477.51