Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.71 / $171.71 / $171.71	Facility		$171.71	$171.71	$171.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $171.71 / $705.83	Professional		$120.64	$171.71	$705.83
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 $138.55 / $181.30 / $249.87	Professional		$138.55	$181.30	$249.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $65.98 / $134.36	Professional		$25.04	$65.98	$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 $174.00 / $253.63 / $272.20	Professional		$174.00	$253.63	$272.20
United Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $164.40 / $250.56	Professional		$106.75	$164.40	$250.56