Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.55 / $115.55 / $115.55	Facility		$115.55	$115.55	$115.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $93.10 / $118.71	Professional		$77.48	$93.10	$118.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $129.81 / $183.66	Professional		$92.42	$129.81	$183.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $93.51 / $113.84	Professional		$71.61	$93.51	$113.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.97 / $296.17 / $431.61	Facility		$230.97	$296.17	$431.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $131.27 / $232.86	Professional		$96.01	$131.27	$232.86
United Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $102.74 / $145.50	Professional		$76.26	$102.74	$145.50