Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.54 / $616.80 / $4,312.00	Facility		$117.54	$616.80	$4,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $238.80 / $285.10	Professional		$117.54	$238.80	$285.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $202.72 / $454.30	Professional		$110.64	$202.72	$454.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $164.96 / $226.42	Professional		$25.65	$164.96	$226.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.75 / $552.34 / $804.92	Facility		$432.75	$552.34	$804.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.22 / $249.82 / $457.34	Professional		$164.22	$249.82	$457.34
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 $203.04 / $253.81 / $375.36	Professional		$203.04	$253.81	$375.36