Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $72.70	Facility		$48.00	$48.00	$72.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $51.10 / $167.13	Professional		$28.85	$51.10	$167.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $59.25 / $92.00	Professional		$38.81	$59.25	$92.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $61.01 / $71.77	Professional		$47.18	$61.01	$71.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.42 / $56.46 / $82.27	Facility		$41.42	$56.46	$82.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $76.45 / $126.40	Professional		$42.68	$76.45	$126.40
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 $45.53 / $55.08 / $88.74	Professional		$45.53	$55.08	$88.74