Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $4,387.00 / $8,133.00	Facility		$517.50	$4,387.00	$8,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $517.50	Professional		$517.50	$517.50	$517.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.20 / $3,022.10 / $3,022.10	Professional		$484.20	$3,022.10	$3,022.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,096.40	Professional		$45.00	$45.00	$3,096.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $832.29 / $1,028.57 / $1,210.08	Professional		$832.29	$1,028.57	$1,210.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $7,693.00 / $13,847.00	Facility		$2,912.00	$7,693.00	$13,847.00