Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.67 / $2,910.00 / $4,387.00	Facility		$126.67	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $272.44 / $427.60	Professional		$126.67	$272.44	$427.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $319.85 / $486.29	Professional		$139.74	$319.85	$486.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.45 / $223.23 / $285.94	Professional		$183.45	$223.23	$285.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $621.80 / $785.42 / $1,128.25	Facility		$621.80	$785.42	$1,128.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $242.42 / $483.85	Professional		$150.85	$242.42	$483.85
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 $256.08 / $313.07 / $558.73	Professional		$256.08	$313.07	$558.73