Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $99.68 / $99.68	Facility		$99.68	$99.68	$99.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $177.71 / $1,190.56	Professional		$99.68	$177.71	$1,190.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $244.45	Professional		$157.99	$216.42	$244.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.83 / $264.25 / $343.52	Professional		$163.83	$264.25	$343.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.95 / $353.50 / $353.50	Facility		$316.95	$353.50	$353.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.30 / $253.39 / $380.08	Professional		$201.30	$253.39	$380.08
United Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $154.40 / $164.30	Facility		$128.66	$154.40	$164.30
United Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $153.02 / $181.33	Professional		$118.62	$153.02	$181.33