Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $99.20 / $834.26	Professional		$69.84	$99.20	$834.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $135.51	Facility		$135.51	$135.51	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $139.58	Professional		$98.92	$135.51	$139.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $158.31 / $205.80	Professional		$98.15	$158.31	$205.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $189.89 / $211.78 / $211.78	Facility		$189.89	$211.78	$211.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $151.80 / $227.70	Professional		$120.60	$151.80	$227.70
United Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $108.19 / $130.12	Professional		$83.12	$108.19	$130.12