Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $134.69 / $1,199.54	Professional		$109.76	$134.69	$1,199.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $302.83 / $435.38	Professional		$257.41	$302.83	$435.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $267.68 / $347.98	Professional		$60.00	$267.68	$347.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.92 / $256.67 / $385.00	Professional		$203.92	$256.67	$385.00
United Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $226.68 / $256.16	Facility		$141.68	$226.68	$256.16
United Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $170.01 / $243.90	Professional		$153.50	$170.01	$243.90