Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $97.02 / $97.02	Facility		$97.02	$97.02	$97.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $137.16 / $1,158.81	Professional		$97.02	$137.16	$1,158.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $193.87	Professional		$137.40	$188.22	$193.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.33 / $219.90 / $285.87	Professional		$136.33	$219.90	$285.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $263.76 / $294.16 / $294.16	Facility		$263.76	$294.16	$294.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $210.85 / $316.27	Professional		$167.51	$210.85	$316.27
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $150.28 / $192.41	Professional		$117.66	$150.28	$192.41