Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.49 / $162.49 / $162.49	Facility		$162.49	$162.49	$162.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $253.54 / $1,590.37	Professional		$102.00	$253.54	$1,590.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $315.25	Facility		$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $336.07	Professional		$230.13	$315.25	$336.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $258.40 / $416.79 / $541.82	Professional		$258.40	$416.79	$541.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $499.92 / $557.54 / $557.54	Facility		$499.92	$557.54	$557.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $317.49 / $399.64 / $599.47	Professional		$317.49	$399.64	$599.47
United Facility/Professional Professional Modifier Low / Median / High Price $193.37 / $249.45 / $302.70	Professional		$193.37	$249.45	$302.70