Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.54 / $138.54 / $138.54	Facility		$138.54	$138.54	$138.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $138.54 / $138.54	Professional		$138.54	$138.54	$138.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.81 / $515.80 / $1,632.94	Facility		$421.81	$515.80	$1,632.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.76 / $174.71 / $219.33	Professional		$124.76	$174.71	$219.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $72.43 / $135.78	Professional		$32.60	$72.43	$135.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $623.61 / $793.80 / $1,217.07	Facility		$623.61	$793.80	$1,217.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $251.60 / $267.45	Professional		$154.16	$251.60	$267.45
United Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $124.22 / $181.20	Professional		$92.64	$124.22	$181.20