Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Facility		$86.00	$86.00	$86.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $140.94	Professional		$86.00	$86.00	$140.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $119.60 / $146.91	Professional		$97.48	$119.60	$146.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $83.96 / $107.22	Professional		$70.62	$83.96	$107.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $656.62 / $829.39 / $1,199.47	Facility		$656.62	$829.39	$1,199.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $136.81 / $153.99	Professional		$101.83	$136.81	$153.99
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 $75.56 / $85.68 / $164.89	Professional		$75.56	$85.68	$164.89