Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.90 / $3,038.00 / $4,387.00	Facility		$692.90	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.90 / $692.90 / $1,046.76	Professional		$692.90	$692.90	$1,046.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.59 / $736.26 / $981.65	Professional		$623.59	$736.26	$981.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $378.15 / $508.03	Professional		$54.98	$378.15	$508.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $685.80 / $785.45 / $944.29	Professional		$685.80	$785.45	$944.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.17 / $577.07 / $1,085.04	Professional		$467.17	$577.07	$1,085.04