Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.87 / $3,038.00 / $4,387.00	Facility		$922.87	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.87 / $922.87 / $1,811.24	Professional		$922.87	$922.87	$1,811.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.27 / $910.03 / $1,116.36	Professional		$836.27	$910.03	$1,116.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $425.32 / $490.44 / $711.17	Professional		$425.32	$490.44	$711.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $774.14 / $1,190.43 / $1,400.51	Professional		$774.14	$1,190.43	$1,400.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,312.00 / $2,446.00 / $13,847.00	Facility		$2,312.00	$2,446.00	$13,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.57 / $775.76 / $1,357.04	Professional		$603.57	$775.76	$1,357.04