Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $2,164.00 / $4,387.00	Facility		$131.55	$2,164.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $148.55 / $268.50	Professional		$91.18	$148.55	$268.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $173.45 / $274.64	Professional		$114.88	$173.45	$274.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $122.02 / $150.99	Professional		$94.37	$122.02	$150.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $193.64 / $259.57	Professional		$127.64	$193.64	$259.57
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 $132.26 / $186.75 / $298.80	Professional		$132.26	$186.75	$298.80