Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.80 / $327.54 / $454.68	Facility		$92.80	$327.54	$454.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $87.08 / $312.00	Professional		$39.02	$87.08	$312.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $74.83 / $117.79	Professional		$47.75	$74.83	$117.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $89.98 / $110.30	Professional		$69.52	$89.98	$110.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.54 / $242.20 / $352.96	Facility		$186.54	$242.20	$352.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $89.40 / $145.22	Professional		$53.79	$89.40	$145.22
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 $54.60 / $68.09 / $109.81	Professional		$54.60	$68.09	$109.81