Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $300.00 / $748.81	Facility		$142.63	$300.00	$748.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $222.30	Professional		$142.62	$142.63	$222.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $125.39 / $393.00	Facility		$121.91	$125.39	$393.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $136.36 / $261.20	Professional		$72.29	$136.36	$261.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $110.99 / $144.28	Professional		$60.00	$110.99	$144.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $164.02 / $171.16	Facility		$142.63	$164.02	$171.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $153.69 / $192.55	Professional		$86.08	$153.69	$192.55
United Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $95.27 / $158.79	Professional		$89.70	$95.27	$158.79