Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $873.40 / $1,145.08	Facility		$166.68	$873.40	$1,145.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $166.68 / $166.68	Professional		$166.68	$166.68	$166.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $162.81 / $510.29	Facility		$158.30	$162.81	$510.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $222.24 / $222.24	Professional		$222.24	$222.24	$222.24
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 $185.20 / $212.98 / $222.24	Facility		$185.20	$212.98	$222.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $191.66 / $257.08	Professional		$168.44	$191.66	$257.08
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $111.12	Professional		$77.78	$77.78	$111.12