Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.90 / $505.90 / $505.90	Facility		$505.90	$505.90	$505.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $249.99 / $505.90	Professional		$174.10	$249.99	$505.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $391.81 / $488.56 / $701.39	Facility		$391.81	$488.56	$701.39
United Facility/Professional Professional Modifier Low / Median / High Price $269.67 / $269.67 / $269.67	Professional		$269.67	$269.67	$269.67