Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.35 / $1,296.10 / $1,699.29	Facility		$247.35	$1,296.10	$1,699.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $247.35 / $247.35	Professional		$247.35	$247.35	$247.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.91 / $241.61 / $757.25	Facility		$234.91	$241.61	$757.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $329.80 / $329.80	Professional		$329.80	$329.80	$329.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Professional		$45.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $316.05 / $329.80	Facility		$274.83	$316.05	$329.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.95 / $284.72 / $381.17	Professional		$249.95	$284.72	$381.17
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $164.90	Professional		$115.43	$115.43	$164.90