Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.72 / $47.72 / $47.72	Facility		$47.72	$47.72	$47.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $95.70 / $122.92	Professional		$47.72	$95.70	$122.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $147.38 / $214.05	Professional		$106.96	$147.38	$214.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $41.31 / $61.76	Professional		$22.35	$41.31	$61.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $451.70 / $570.54 / $825.31	Facility		$451.70	$570.54	$825.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.24 / $182.03 / $218.52	Professional		$153.24	$182.03	$218.52
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 $78.56 / $104.24 / $144.37	Professional		$78.56	$104.24	$144.37