Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.23 / $188.23 / $188.23	Facility		$188.23	$188.23	$188.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $189.75 / $491.23	Professional		$151.16	$189.75	$491.23
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 $175.43 / $261.61 / $413.42	Professional		$175.43	$261.61	$413.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $199.73 / $250.20	Professional		$167.99	$199.73	$250.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.39 / $325.60 / $414.16	Facility		$289.39	$325.60	$414.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.29 / $290.70 / $339.47	Professional		$255.29	$290.70	$339.47
United Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $204.44 / $326.42	Professional		$166.78	$204.44	$326.42