Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $193.26 / $504.30	Facility		$88.80	$193.26	$504.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $101.79 / $143.69	Professional		$88.80	$101.79	$143.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.89 / $84.22 / $263.95	Facility		$81.89	$84.22	$263.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $121.01 / $204.20	Professional		$70.55	$121.01	$204.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $67.13 / $245.39	Professional		$46.99	$67.13	$245.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $110.17 / $387.99	Facility		$95.80	$110.17	$387.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $105.72 / $125.16	Professional		$99.45	$105.72	$125.16
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $50.62 / $57.48	Professional		$40.24	$50.62	$57.48