Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.83 / $182.83 / $182.83	Facility		$182.83	$182.83	$182.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $182.83 / $785.20	Professional		$133.72	$182.83	$785.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.28 / $287.70 / $910.81	Facility		$235.28	$287.70	$910.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $193.16 / $248.85	Professional		$153.26	$193.16	$248.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $77.63 / $134.36	Professional		$48.99	$77.63	$134.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $509.64 / $794.95	Facility		$384.00	$509.64	$794.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $265.97 / $295.27	Professional		$193.33	$265.97	$295.27
United Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $142.38 / $271.35	Professional		$118.41	$142.38	$271.35