Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.96 / $754.35 / $989.01	Facility		$143.96	$754.35	$989.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $126.36 / $169.55	Professional		$105.17	$126.36	$169.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.72 / $140.62 / $440.73	Facility		$136.72	$140.62	$440.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $183.79 / $229.73	Professional		$183.79	$183.79	$229.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $164.75 / $183.94 / $191.94	Facility		$164.75	$183.94	$191.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.44 / $125.27 / $136.04	Professional		$122.44	$125.27	$136.04
United Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $79.98 / $103.97	Facility		$79.98	$79.98	$103.97
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $67.18 / $95.97	Professional		$67.18	$67.18	$95.97