Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $45.17 / $45.17	Facility		$45.17	$45.17	$45.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $52.32 / $442.04	Professional		$45.17	$52.32	$442.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $99.06 / $105.60	Professional		$72.31	$99.06	$105.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $115.86 / $150.61	Professional		$71.83	$115.86	$150.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.97 / $154.99 / $154.99	Facility		$138.97	$154.99	$154.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $111.10 / $166.65	Professional		$88.26	$111.10	$166.65
United Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $69.95 / $89.58	Professional		$54.78	$69.95	$89.58