Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $54.63 / $54.63	Facility		$54.63	$54.63	$54.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $57.92 / $489.37	Professional		$54.63	$57.92	$489.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.06 / $127.99	Professional		$87.64	$120.06	$127.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $148.26 / $192.73	Professional		$91.92	$148.26	$192.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $198.33 / $198.33	Facility		$177.83	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $142.16 / $213.24	Professional		$112.94	$142.16	$213.24
United Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $84.62 / $108.34	Professional		$65.01	$84.62	$108.34