Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $125.81 / $4,387.00	Facility		$68.34	$125.81	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $118.96 / $164.71	Professional		$68.34	$118.96	$164.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $127.01 / $186.26	Professional		$72.62	$127.01	$186.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $85.31 / $110.30	Professional		$69.23	$85.31	$110.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $765.38 / $1,043.22 / $1,520.27	Facility		$765.38	$1,043.22	$1,520.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $127.51 / $202.42	Professional		$87.03	$127.51	$202.42
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 $104.94 / $127.59 / $228.95	Professional		$104.94	$127.59	$228.95