Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.91 / $3,038.00 / $4,387.00	Facility		$110.91	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $109.47 / $234.74	Professional		$75.26	$109.47	$234.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $120.13 / $172.44	Professional		$95.98	$120.13	$172.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $89.27 / $113.84	Professional		$71.00	$89.27	$113.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $136.18 / $178.01	Professional		$106.17	$136.18	$178.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,312.00 / $2,446.00 / $13,847.00	Facility		$2,312.00	$2,446.00	$13,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $97.20 / $164.70	Professional		$77.12	$97.20	$164.70