Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $126.54 / $4,387.00	Facility		$92.50	$126.54	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $93.88 / $364.19	Professional		$63.57	$93.88	$364.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $106.77 / $187.72	Professional		$74.77	$106.77	$187.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $89.98 / $110.94	Professional		$70.45	$89.98	$110.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $399.09 / $509.20 / $742.05	Facility		$399.09	$509.20	$742.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $135.63 / $176.44	Professional		$92.02	$135.63	$176.44
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 $73.50 / $97.65 / $153.44	Professional		$73.50	$97.65	$153.44