Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $131.83	Professional		$60.26	$125.89	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $60.26	Professional		$30.20	$44.67	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $89.13	Professional		$53.70	$69.18	$89.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.46 / $120.23	Professional		$4.57	$6.46	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82