Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.33 / $3,084.00 / $4,707.00	Facility		$373.33	$3,084.00	$4,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.33 / $373.33 / $815.58	Professional		$373.33	$373.33	$815.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $528.27 / $668.74	Professional		$299.44	$528.27	$668.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $247.25 / $342.80	Professional		$53.83	$247.25	$342.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $490.41 / $544.90 / $794.07	Professional		$490.41	$544.90	$794.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,312.00 / $2,446.00 / $13,847.00	Facility		$2,312.00	$2,446.00	$13,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.72 / $385.40 / $604.79	Professional		$314.72	$385.40	$604.79