Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.59 / $70.59 / $70.59	Facility	26	$70.59	$70.59	$70.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $249.45 / $670.01	Professional		$154.53	$249.45	$670.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.22 / $304.52 / $423.31	Professional		$236.22	$304.52	$423.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $160.06 / $231.14	Professional		$52.59	$160.06	$231.14
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $481.30 / $481.30 / $481.30	Facility	26	$481.30	$481.30	$481.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $215.73 / $269.24 / $370.53	Professional		$215.73	$269.24	$370.53
United Facility/Professional Professional Modifier Low / Median / High Price $187.84 / $241.03 / $378.00	Professional		$187.84	$241.03	$378.00