Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $2,833.00 / $4,387.00	Facility		$141.44	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.46 / $181.84 / $278.68	Professional		$129.46	$181.84	$278.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $213.09 / $368.52	Professional		$123.36	$213.09	$368.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $169.75 / $224.35	Professional		$130.10	$169.75	$224.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,408.37 / $1,919.63 / $2,797.46	Facility		$1,408.37	$1,919.63	$2,797.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.61 / $281.54 / $412.37	Professional		$181.61	$281.54	$412.37
United Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $4,455.00 / $4,912.00	Facility		$871.00	$4,455.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $220.32 / $312.12	Professional		$182.84	$220.32	$312.12