Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.87 / $1,162.59 / $1,524.25	Facility		$221.87	$1,162.59	$1,524.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $221.87 / $221.87	Professional		$221.87	$221.87	$221.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.25 / $358.18 / $1,122.60	Facility		$348.25	$358.18	$1,122.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $488.92 / $488.92	Professional		$488.92	$488.92	$488.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $468.54 / $998.41	Facility		$407.43	$468.54	$998.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.96 / $366.69 / $508.45	Professional		$253.96	$366.69	$508.45
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $244.46	Professional		$103.54	$147.91	$244.46