Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.75 / $3,084.00 / $4,707.00	Facility		$273.75	$3,084.00	$4,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.43 / $273.75 / $944.26	Professional		$179.43	$273.75	$944.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.54 / $249.94 / $388.28	Professional		$160.54	$249.94	$388.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.28 / $170.69 / $215.84	Professional		$141.28	$170.69	$215.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $292.07 / $329.03 / $432.70	Professional		$292.07	$329.03	$432.70
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $4,445.00 / $4,912.00	Facility		$658.00	$4,445.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $192.10 / $299.70	Professional		$140.12	$192.10	$299.70