Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.85 / $277.20 / $407.50	Facility		$168.85	$277.20	$407.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $226.31 / $699.00	Professional		$128.27	$226.31	$699.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $166.73 / $261.95 / $700.06	Professional	25	$166.73	$261.95	$700.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $183.00 / $287.20	Facility		$120.00	$183.00	$287.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.96 / $241.84 / $388.63	Professional		$184.96	$241.84	$388.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.81 / $215.84 / $270.10	Professional		$165.81	$215.84	$270.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $253.74 / $320.97	Professional		$187.03	$253.74	$320.97
United Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $228.14 / $345.14	Professional		$175.50	$228.14	$345.14
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	25	$80.00	$80.00	$80.00