Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.47 / $94.00 / $172.78	Facility		$68.47	$94.00	$172.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $172.78 / $664.02	Professional		$105.67	$172.78	$664.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.91 / $106.28 / $336.45	Facility		$86.91	$106.28	$336.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $196.61 / $266.08	Professional		$144.41	$196.61	$266.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $220.85	Professional		$45.00	$60.00	$220.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $124.71 / $159.80	Facility		$112.50	$124.71	$159.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.39 / $233.50 / $297.24	Professional		$186.39	$233.50	$297.24
United Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $171.55 / $257.87	Professional		$136.41	$171.55	$257.87