Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.42 / $2,164.00 / $4,387.00	Facility		$57.42	$2,164.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $61.67 / $294.42	Professional		$50.43	$61.67	$294.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $77.20 / $125.25	Professional		$62.73	$77.20	$125.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $60.00 / $77.63	Professional		$46.74	$60.00	$77.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $91.12 / $127.69	Professional		$73.42	$91.12	$127.69
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 $55.08 / $68.40 / $108.00	Professional		$55.08	$68.40	$108.00