Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.12 / $2,910.00 / $4,387.00	Facility		$169.12	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $152.86 / $239.25	Professional		$130.02	$152.86	$239.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $207.96 / $252.59	Professional		$158.94	$207.96	$252.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $137.74 / $180.50	Professional		$117.70	$137.74	$180.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $195.57 / $271.37	Professional		$164.94	$195.57	$271.37
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 $127.44 / $167.46 / $269.13	Professional		$127.44	$167.46	$269.13