Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.13 / $3,038.00 / $4,387.00	Facility		$113.13	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $113.13 / $215.58	Professional		$65.90	$113.13	$215.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $97.58 / $126.42	Professional		$87.39	$97.58	$126.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $56.66 / $78.15	Professional		$46.89	$56.66	$78.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $124.06 / $180.78	Professional		$87.46	$124.06	$180.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,312.00 / $2,446.00 / $11,487.00	Facility		$2,312.00	$2,446.00	$11,487.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $81.40 / $141.85	Professional		$65.01	$81.40	$141.85