Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $81.03 / $81.03	Facility		$81.03	$81.03	$81.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $81.03 / $81.03	Professional		$81.03	$81.03	$81.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.04 / $690.95 / $2,187.40	Facility		$565.04	$690.95	$2,187.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $93.38 / $133.26	Professional		$75.13	$93.38	$133.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $60.00 / $130.37	Professional		$11.59	$60.00	$130.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $809.54 / $1,040.28 / $1,568.36	Facility		$809.54	$1,040.28	$1,568.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.62 / $145.15 / $154.29	Professional		$102.62	$145.15	$154.29
United Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $112.60 / $153.58	Professional		$78.52	$112.60	$153.58