Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $2,164.00 / $4,387.00	Facility		$53.56	$2,164.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $141.87 / $547.27	Professional		$35.50	$141.87	$547.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $95.86 / $323.77	Professional		$47.80	$95.86	$323.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $142.06 / $185.53	Professional		$112.85	$142.06	$185.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $104.23 / $278.05	Professional		$52.70	$104.23	$278.05
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 $145.86 / $177.23 / $308.64	Professional		$145.86	$177.23	$308.64