Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $1,149.93 / $3,825.00	Facility		$107.10	$1,149.93	$3,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $163.65 / $392.13	Professional		$66.41	$163.65	$392.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $187.60 / $356.08	Professional		$92.82	$187.60	$356.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $143.52 / $185.53	Professional		$114.79	$143.52	$185.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $203.71 / $367.83	Professional		$102.88	$203.71	$367.83
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 $159.72 / $194.25 / $332.13	Professional		$159.72	$194.25	$332.13