Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.15 / $175.15 / $175.15	Facility		$175.15	$175.15	$175.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $175.15 / $186.99	Professional		$137.76	$175.15	$186.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.63 / $152.91 / $432.14	Facility		$111.63	$152.91	$432.14
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 $169.70 / $211.60 / $303.77	Facility		$169.70	$211.60	$303.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $38.29 / $267.66	Professional		$34.47	$38.29	$267.66
United Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $194.16 / $320.36	Professional		$174.74	$194.16	$320.36