Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.83 / $174.83 / $174.83	Facility		$174.83	$174.83	$174.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $174.83 / $174.83	Professional		$174.83	$174.83	$174.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.56 / $245.14 / $245.14	Facility		$214.56	$245.14	$245.14
United Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $173.44 / $204.19	Professional		$137.90	$173.44	$204.19