Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.20 / $2,870.00 / $4,387.00	Facility		$118.20	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $151.26 / $322.66	Professional		$87.12	$151.26	$322.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.08 / $172.07 / $245.43	Professional		$124.08	$172.07	$245.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $129.38 / $165.89	Professional		$101.09	$129.38	$165.89
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 $116.24 / $180.74 / $249.28	Professional		$116.24	$180.74	$249.28
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 $133.57 / $167.82 / $252.01	Professional		$133.57	$167.82	$252.01