Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.66 / $3,038.00 / $4,387.00	Facility		$187.66	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $187.66 / $187.66	Professional		$130.00	$187.66	$187.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.55 / $200.85 / $273.45	Professional		$173.55	$200.85	$273.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $292.70	Professional		$45.00	$45.00	$292.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,118.30 / $1,524.26 / $2,221.28	Facility		$1,118.30	$1,524.26	$2,221.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.34 / $253.67 / $302.74	Professional		$192.34	$253.67	$302.74
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $2,790.00 / $4,912.00	Facility		$658.00	$2,790.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $153.26 / $303.83	Professional		$130.82	$153.26	$303.83