Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.43 / $97.43 / $97.43	Facility	26	$97.43	$97.43	$97.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $155.86 / $793.63	Professional		$135.75	$155.86	$793.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $190.69 / $247.96	Professional		$150.13	$190.69	$247.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $85.26 / $131.97	Professional		$50.97	$85.26	$131.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $454.31 / $454.31 / $454.31	Facility	26	$454.31	$454.31	$454.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $254.36 / $283.58	Professional		$198.78	$254.36	$283.58
United Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $141.47 / $235.20	Professional		$118.97	$141.47	$235.20