Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.58 / $364.40 / $4,312.00	Facility		$115.58	$364.40	$4,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $142.00 / $341.11	Professional		$82.92	$142.00	$341.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $168.70 / $275.27	Professional		$105.29	$168.70	$275.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $114.56 / $148.85	Professional		$92.16	$114.56	$148.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.97 / $296.17 / $431.61	Facility		$230.97	$296.17	$431.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $195.38 / $270.45	Professional		$109.27	$195.38	$270.45
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 $131.34 / $164.41 / $286.57	Professional		$131.34	$164.41	$286.57