Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.46 / $2,744.00 / $4,626.00	Facility		$121.46	$2,744.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $121.46 / $239.47	Professional		$88.86	$121.46	$239.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $175.27 / $247.44	Professional		$130.68	$175.27	$247.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $151.64 / $186.27	Professional		$117.29	$151.64	$186.27
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 $123.25 / $174.91 / $230.22	Professional		$123.25	$174.91	$230.22
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 $123.48 / $158.04 / $254.61	Professional		$123.48	$158.04	$254.61