Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.66 / $2,520.50 / $4,312.00	Facility		$148.66	$2,520.50	$4,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $148.66 / $273.89	Professional		$93.25	$148.66	$273.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $155.18 / $190.31	Professional		$137.36	$155.18	$190.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $84.38 / $106.03	Professional		$71.00	$84.38	$106.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $343.97 / $3,121.08 / $4,689.71	Facility		$343.97	$3,121.08	$4,689.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $163.55 / $189.08	Professional		$126.63	$163.55	$189.08
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 $109.56 / $126.90 / $239.05	Professional		$109.56	$126.90	$239.05