Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.75 / $90.75 / $90.75	Facility		$90.75	$90.75	$90.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $92.02 / $234.67	Professional		$62.22	$92.02	$234.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $72.00 / $75.00	Facility		$69.00	$72.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $126.14 / $202.72	Professional		$83.50	$126.14	$202.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $86.03 / $106.03	Professional		$72.17	$86.03	$106.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.31 / $158.99 / $201.91	Facility		$142.31	$158.99	$201.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $141.94 / $166.46	Professional		$124.28	$141.94	$166.46
United Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $104.79 / $155.49	Professional		$80.29	$104.79	$155.49