Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $2,910.00 / $4,387.00	Facility		$74.63	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $186.84 / $451.53	Professional		$48.72	$186.84	$451.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $173.51 / $361.95	Professional		$63.22	$173.51	$361.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $176.45 / $222.22	Professional		$137.43	$176.45	$222.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $160.50 / $364.04	Professional		$67.12	$160.50	$364.04
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 $150.72 / $206.28 / $332.33	Professional		$150.72	$206.28	$332.33