Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.11 / $190.29 / $4,387.00	Facility		$79.11	$190.29	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $161.81 / $258.58	Professional		$64.23	$161.81	$258.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $179.50 / $362.51	Professional		$84.49	$179.50	$362.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $171.75 / $222.22	Professional		$137.43	$171.75	$222.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $248.30 / $283.70 / $358.67	Facility		$248.30	$283.70	$358.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $219.04 / $303.79	Professional		$83.10	$219.04	$303.79
United Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $211.60 / $336.52	Professional		$166.94	$211.60	$336.52