Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.45 / $99.45 / $99.45	Facility		$99.45	$99.45	$99.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $99.45 / $109.40	Professional		$58.28	$99.45	$109.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $216.04 / $269.39 / $386.74	Facility		$216.04	$269.39	$386.74
United Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $137.36 / $137.36	Professional		$137.36	$137.36	$137.36