Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.13 / $190.13 / $979.07	Facility		$190.13	$190.13	$979.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.13 / $190.13 / $190.13	Professional		$190.13	$190.13	$190.13
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 $150.06 / $192.59 / $280.02	Professional		$150.06	$192.59	$280.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $93.53 / $135.78	Professional		$32.60	$93.53	$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 $197.30 / $341.44 / $367.69	Professional		$197.30	$341.44	$367.69
United Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $180.68 / $316.20	Professional		$150.47	$180.68	$316.20