Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $3,038.00 / $4,387.00	Facility		$791.70	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.88 / $2,601.92 / $2,601.92	Professional		$677.88	$2,601.92	$2,601.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $2,714.37	Professional		$45.00	$45.00	$2,714.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,219.33 / $1,506.88 / $1,765.79	Professional		$1,219.33	$1,506.88	$1,765.79
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 $913.11 / $1,013.18 / $1,992.24	Professional		$913.11	$1,013.18	$1,992.24