Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $109.16 / $416.90	Facility		$69.56	$109.16	$416.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $109.16 / $216.48	Professional		$89.90	$109.16	$216.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.04 / $136.50 / $432.14	Facility		$100.04	$136.50	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $124.61 / $211.54	Professional		$91.90	$124.61	$211.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.98 / $98.49	Professional		$32.34	$65.98	$98.49
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 $159.62 / $181.37 / $213.16	Professional		$159.62	$181.37	$213.16
United Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $104.66 / $180.90	Professional		$93.26	$104.66	$180.90