Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.30 / $646.09 / $847.07	Facility		$123.30	$646.09	$847.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $123.30 / $123.30	Professional		$123.30	$123.30	$123.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.10 / $120.44 / $377.48	Facility		$117.10	$120.44	$377.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $141.93 / $250.42	Professional		$63.01	$141.93	$250.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $157.55 / $554.85	Facility		$137.00	$157.55	$554.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $147.94 / $164.39	Professional		$137.00	$147.94	$164.39
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $82.20	Professional		$57.54	$57.54	$82.20