Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.06 / $210.06 / $1,101.39	Facility		$210.06	$210.06	$1,101.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $135.43 / $239.09	Professional		$102.22	$135.43	$239.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $136.50 / $432.14	Facility		$54.31	$136.50	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $134.47 / $193.42	Professional		$99.73	$134.47	$193.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.05 / $98.51	Professional		$32.34	$42.05	$98.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.70 / $225.21 / $387.37	Facility		$169.70	$225.21	$387.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.31 / $170.78 / $213.15	Professional		$137.31	$170.78	$213.15
United Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $168.54 / $286.52	Professional		$107.62	$168.54	$286.52