Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $44.95 / $44.95	Facility		$44.95	$44.95	$44.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $47.66 / $402.66	Professional		$44.95	$47.66	$402.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $92.99	Professional		$65.90	$90.28	$92.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $111.60 / $145.08	Professional		$69.19	$111.60	$145.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.86 / $149.29 / $149.29	Facility		$133.86	$149.29	$149.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $107.01 / $160.51	Professional		$85.02	$107.01	$160.51
United Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $69.62 / $89.15	Professional		$54.52	$69.62	$89.15