Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.82 / $198.82 / $198.82	Facility		$198.82	$198.82	$198.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $172.09 / $595.00	Professional		$113.10	$172.09	$595.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $115.53 / $195.00 / $260.77	Professional	25	$115.53	$195.00	$260.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $154.68 / $188.87	Professional		$118.63	$154.68	$188.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $213.51 / $255.52	Professional		$171.32	$213.51	$255.52
United Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $189.35 / $287.39	Professional		$146.94	$189.35	$287.39