Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.02 / $2,910.00 / $5,256.00	Facility		$115.02	$2,910.00	$5,256.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $193.94 / $513.29	Professional		$74.75	$193.94	$513.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $195.51 / $312.88	Professional		$88.41	$195.51	$312.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $120.45 / $148.85	Professional		$93.03	$120.45	$148.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $198.03 / $492.21	Professional		$99.01	$198.03	$492.21
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $4,445.00 / $4,912.00	Facility		$658.00	$4,445.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $242.10 / $365.21	Professional		$173.50	$242.10	$365.21