Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.86 / $108.86 / $108.86	Facility	26	$108.86	$108.86	$108.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.08 / $412.36 / $570.72	Professional		$254.08	$412.36	$570.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.80 / $442.74 / $921.91	Professional		$269.80	$442.74	$921.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $264.33 / $413.09	Professional		$105.00	$264.33	$413.09
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $484.37 / $484.37 / $484.37	Facility	26	$484.37	$484.37	$484.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $438.86 / $570.91 / $701.21	Professional		$438.86	$570.91	$701.21
United Facility/Professional Professional Modifier Low / Median / High Price $240.40 / $393.68 / $733.59	Professional		$240.40	$393.68	$733.59