Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $518.96	Facility		$110.00	$110.00	$518.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $110.00 / $653.96	Professional		$101.48	$110.00	$653.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.01 / $310.27 / $982.29	Facility		$129.01	$310.27	$982.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $128.13 / $209.51	Professional		$96.18	$128.13	$209.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $86.46 / $115.86	Professional		$64.84	$86.46	$115.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $378.22 / $480.81 / $767.88	Facility		$378.22	$480.81	$767.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.02 / $187.71 / $219.68	Professional		$172.02	$187.71	$219.68
United Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $114.04 / $188.17	Professional		$98.17	$114.04	$188.17