Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $64.95	Facility		$64.95	$64.95	$64.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $88.77 / $750.01	Professional		$64.95	$88.77	$750.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Facility		$136.19	$136.19	$136.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $145.19	Professional		$99.43	$136.19	$145.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $147.25 / $191.42	Professional		$91.29	$147.25	$191.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $176.61 / $196.97 / $196.97	Facility		$176.61	$196.97	$196.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $141.19 / $211.79	Professional		$112.16	$141.19	$211.79
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $100.63 / $118.18	Professional		$77.31	$100.63	$118.18