Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.63 / $368.89 / $4,387.00	Facility		$182.63	$368.89	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $200.09 / $693.40	Professional		$131.22	$200.09	$693.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $222.69 / $373.03	Professional		$164.39	$222.69	$373.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $143.16 / $194.07	Professional		$104.45	$143.16	$194.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $349.99 / $463.13 / $674.92	Facility		$349.99	$463.13	$674.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.72 / $259.95 / $361.13	Professional		$196.72	$259.95	$361.13
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 $163.80 / $217.60 / $393.12	Professional		$163.80	$217.60	$393.12