Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.17 / $1,264.00 / $2,809.00	Facility		$89.17	$1,264.00	$2,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $95.91 / $171.00	Professional		$89.17	$95.91	$171.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $519.00 / $596.00	Facility		$390.00	$519.00	$596.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $125.11 / $227.77	Professional		$84.17	$125.11	$227.77
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 $158.63 / $168.62 / $189.32	Professional		$158.63	$168.62	$189.32