Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.75 / $2,922.00 / $5,743.00	Facility		$457.75	$2,922.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,546.04 / $1,546.04 / $1,546.04	Professional		$1,546.04	$1,546.04	$1,546.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $349.99 / $463.13 / $674.92	Facility		$349.99	$463.13	$674.92
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