Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.53 / $190.53 / $190.53	Facility		$190.53	$190.53	$190.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $165.90 / $205.32	Professional		$164.25	$165.90	$205.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.40 / $212.86 / $231.63	Facility		$178.40	$212.86	$231.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $164.25 / $208.90	Professional		$114.24	$164.25	$208.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $221.86 / $306.95 / $440.68	Facility		$221.86	$306.95	$440.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $222.63 / $234.33	Professional		$180.68	$222.63	$234.33
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25