Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.49 / $161.49 / $161.49	Facility		$161.49	$161.49	$161.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $140.60 / $174.02	Professional		$139.21	$140.60	$174.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.59 / $187.27 / $207.21	Facility		$159.59	$187.27	$207.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $139.21 / $180.97	Professional		$97.06	$139.21	$180.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.41 / $268.98 / $386.16	Facility		$194.41	$268.98	$386.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $188.68 / $198.62	Professional		$153.13	$188.68	$198.62
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21