Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.00 / $249.00 / $249.00	Facility		$249.00	$249.00	$249.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $255.00	Professional		$249.00	$249.00	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $255.00 / $255.00	Professional		$223.50	$255.00	$255.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $205.00 / $325.00	Professional		$60.00	$205.00	$325.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $387.59 / $483.29 / $693.83	Facility		$387.59	$483.29	$693.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00