Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $528.29 / $692.63	Facility		$100.82	$528.29	$692.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $88.50 / $100.82	Professional		$73.65	$88.50	$100.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.75 / $98.47 / $308.64	Facility		$95.75	$98.47	$308.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $160.55	Professional		$128.44	$128.44	$160.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $45.00	Professional		$30.00	$30.00	$45.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $128.82 / $134.41	Facility		$112.02	$128.82	$134.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $87.77 / $95.27	Professional		$85.74	$87.77	$95.27
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $47.05 / $67.20	Professional		$47.05	$47.05	$67.20