Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.87 / $1,162.59 / $1,524.25	Facility		$221.87	$1,162.59	$1,524.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $221.87 / $221.87	Professional		$221.87	$221.87	$221.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.91 / $241.61 / $757.25	Facility		$234.91	$241.61	$757.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $329.80 / $329.80	Professional		$329.80	$329.80	$329.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $316.05 / $329.80	Facility		$274.83	$316.05	$329.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $247.43 / $277.72 / $343.05	Professional		$247.43	$277.72	$343.05
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $164.90	Professional		$103.54	$103.54	$164.90