Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.83 / $2,601.44 / $4,312.00	Facility		$94.83	$2,601.44	$4,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $356.00 / $683.39	Professional		$85.04	$356.00	$683.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $441.62 / $718.93	Professional		$114.21	$441.62	$718.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.02 / $309.91 / $393.17	Professional		$248.02	$309.91	$393.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $189.39 / $949.25	Professional		$116.04	$189.39	$949.25
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 $452.85 / $538.29 / $1,006.56	Professional		$452.85	$538.29	$1,006.56