Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.37 / $167.45 / $644.59	Facility		$49.37	$167.45	$644.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $91.89 / $224.03	Professional		$35.22	$91.89	$224.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.91 / $105.17 / $185.47	Professional		$42.91	$105.17	$185.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $88.50 / $110.30	Professional		$69.52	$88.50	$110.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $451.70 / $570.54 / $825.31	Facility		$451.70	$570.54	$825.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $109.10 / $311.48	Professional		$57.56	$109.10	$311.48
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 $82.99 / $124.32 / $182.99	Professional		$82.99	$124.32	$182.99