Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.80 / $149.80 / $149.80	Facility		$149.80	$149.80	$149.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $207.70 / $1,789.24	Professional		$149.80	$207.70	$1,789.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $290.63	Facility		$290.63	$290.63	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $290.63 / $299.35	Professional		$212.16	$290.63	$299.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.50 / $339.53 / $441.38	Professional		$210.50	$339.53	$441.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.26 / $454.20 / $454.20	Facility		$407.26	$454.20	$454.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $325.57 / $488.36	Professional		$258.64	$325.57	$488.36
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $181.68 / $232.04 / $272.52	Professional		$181.68	$232.04	$272.52