Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.92 / $3,084.00 / $4,707.00	Facility		$164.92	$3,084.00	$4,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $116.72 / $604.91	Professional		$106.00	$116.72	$604.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $170.56 / $248.22	Professional		$117.34	$170.56	$248.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $90.12 / $108.86	Professional		$71.61	$90.12	$108.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.66 / $210.33 / $330.23	Professional		$186.66	$210.33	$330.23
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 $99.18 / $125.43 / $200.00	Professional		$99.18	$125.43	$200.00