Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.50 / $59.50 / $59.50	Facility	26	$59.50	$59.50	$59.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $94.91 / $124.71	Professional		$84.16	$94.91	$124.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $134.16 / $244.16	Professional		$103.75	$134.16	$244.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $61.71 / $98.49	Professional		$25.98	$61.71	$98.49
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $253.98 / $253.98 / $253.98	Facility	26	$253.98	$253.98	$253.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $146.40 / $189.13	Professional		$103.28	$146.40	$189.13
United Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $111.20 / $163.52	Professional		$85.39	$111.20	$163.52