Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $153.00 / $404.53	Professional		$131.90	$153.00	$404.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.72 / $190.67 / $219.27	Facility		$155.72	$190.67	$219.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $394.67	Professional		$45.00	$60.00	$394.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $145.09 / $167.15	Professional		$130.58	$145.09	$167.15
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90