Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.79 / $66.79 / $66.79	Facility		$66.79	$66.79	$66.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $66.79 / $309.33	Professional		$66.79	$66.79	$309.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $85.09 / $101.44	Professional		$76.53	$85.09	$101.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $32.57 / $139.05	Professional		$24.25	$32.57	$139.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $136.49 / $160.58	Professional		$103.11	$136.49	$160.58
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 $57.12 / $70.65 / $107.41	Professional		$57.12	$70.65	$107.41