Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $35.39 / $523.17	Facility		$35.39	$35.39	$523.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $49.15 / $103.45	Professional		$35.39	$49.15	$103.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $113.03 / $357.81	Facility		$88.27	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $100.17 / $139.68	Professional		$59.81	$100.17	$139.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $174.89 / $251.95	Facility		$133.81	$174.89	$251.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $100.93 / $166.89	Professional		$60.76	$100.93	$166.89