Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.81 / $2,910.00 / $4,387.00	Facility		$91.81	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $113.78 / $248.06	Professional		$71.51	$113.78	$248.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $139.38 / $198.54	Professional		$96.30	$139.38	$198.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $90.31 / $112.17	Professional		$70.11	$90.31	$112.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $139.41 / $205.99	Professional		$90.41	$139.41	$205.99
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 $107.52 / $130.90 / $189.00	Professional		$107.52	$130.90	$189.00