Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.60 / $200.60 / $233.00	Facility		$200.60	$200.60	$233.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $209.89 / $302.62	Professional		$144.00	$209.89	$302.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $210.64 / $231.39 / $296.08	Professional	25	$210.64	$231.39	$296.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.78 / $282.57 / $415.23	Professional		$222.78	$282.57	$415.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $232.71 / $268.73	Professional		$191.65	$232.71	$268.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $196.56 / $254.42 / $365.26	Facility		$196.56	$254.42	$365.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.90 / $281.08 / $353.88	Professional		$194.90	$281.08	$353.88
United Facility/Professional Professional Modifier Low / Median / High Price $206.10 / $267.93 / $408.97	Professional		$206.10	$267.93	$408.97