Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.40 / $2,833.00 / $4,387.00	Facility		$139.40	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.40 / $435.02 / $594.30	Professional		$139.40	$435.02	$594.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.94 / $521.54 / $743.94	Professional		$113.94	$521.54	$743.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.86 / $312.72 / $420.38	Professional		$247.86	$312.72	$420.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $894.19 / $1,191.10 / $1,735.80	Facility		$894.19	$1,191.10	$1,735.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $219.17 / $879.05	Professional		$115.07	$219.17	$879.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $11,487.00	Facility		$1,106.00	$1,649.00	$11,487.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.60 / $476.01 / $888.49	Professional		$404.60	$476.01	$888.49