Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $632.57 / $829.35	Facility		$120.72	$632.57	$829.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $120.72 / $120.72	Professional		$120.72	$120.72	$120.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.64 / $117.91 / $369.56	Facility		$114.64	$117.91	$369.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $160.96 / $160.96	Professional		$160.96	$160.96	$160.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $60.00	Professional		$45.00	$60.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.15 / $154.25 / $160.96	Facility		$138.15	$154.25	$160.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $154.35 / $200.49	Professional		$138.91	$154.35	$200.49
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $80.48	Professional		$56.33	$56.33	$80.48