Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.41 / $3,038.00 / $4,626.00	Facility		$77.41	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $107.95 / $257.91	Professional		$57.12	$107.95	$257.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $116.75 / $201.19	Professional		$80.91	$116.75	$201.19
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 $75.65 / $132.54 / $210.34	Professional		$75.65	$132.54	$210.34
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 $111.94 / $138.96 / $212.24	Professional		$111.94	$138.96	$212.24