Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $2,922.00 / $4,387.00	Facility		$75.06	$2,922.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $63.15 / $110.44	Professional		$50.31	$63.15	$110.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $80.48 / $122.25	Professional		$61.22	$80.48	$122.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $155.66	Professional		$30.00	$45.00	$155.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,237.82 / $2,891.57 / $4,213.85	Facility		$2,237.82	$2,891.57	$4,213.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $90.84 / $117.40	Professional		$72.23	$90.84	$117.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $66.78 / $104.94	Professional		$49.29	$66.78	$104.94