Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.11 / $2,870.00 / $4,387.00	Facility		$206.11	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $227.51 / $532.05	Professional		$206.11	$227.51	$532.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $1,161.08	Professional		$30.00	$45.00	$1,161.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $832.54 / $1,102.11 / $1,606.11	Facility		$832.54	$1,102.11	$1,606.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $671.40 / $753.36 / $906.35	Professional		$671.40	$753.36	$906.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.42 / $757.13 / $977.46	Professional		$522.42	$757.13	$977.46