Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.49 / $2,922.00 / $5,019.39	Facility		$138.49	$2,922.00	$5,019.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $168.15 / $570.51	Professional		$98.14	$168.15	$570.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $209.86 / $381.82	Professional		$127.58	$209.86	$381.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $148.27 / $187.35	Professional		$115.96	$148.27	$187.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $381.48 / $484.37 / $682.89	Facility		$381.48	$484.37	$682.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $231.91 / $331.14	Professional		$156.16	$231.91	$331.14
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 $165.60 / $237.35 / $350.58	Professional		$165.60	$237.35	$350.58