Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.06 / $51.06 / $299.30	Facility		$51.06	$51.06	$299.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $55.54 / $281.00	Professional		$41.15	$55.54	$281.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $126.62 / $357.81	Facility		$92.43	$126.62	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $63.83 / $100.60	Professional		$42.32	$63.83	$100.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $29.37 / $38.62	Professional		$22.92	$29.37	$38.62
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 $81.79 / $93.48 / $102.47	Professional		$81.79	$93.48	$102.47
United Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $54.13 / $89.31	Professional		$39.60	$54.13	$89.31