Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $2,910.00 / $4,387.00	Facility		$137.00	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $175.95 / $286.70	Professional		$86.37	$175.95	$286.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $142.28 / $182.07	Professional		$115.98	$142.28	$182.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $539.07 / $755.46 / $1,100.93	Facility		$539.07	$755.46	$1,100.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $203.37 / $339.69	Professional		$109.92	$203.37	$339.69
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 $216.63 / $261.45 / $537.84	Professional		$216.63	$261.45	$537.84