Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.44 / $123.44 / $123.44	Facility		$123.44	$123.44	$123.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $109.65 / $135.66	Professional		$87.83	$109.65	$135.66
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 $90.23 / $114.13 / $170.91	Professional		$90.23	$114.13	$170.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $84.38 / $105.02	Professional		$71.15	$84.38	$105.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $123.67 / $137.09 / $176.89	Facility		$123.67	$137.09	$176.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $122.40 / $152.58	Professional		$110.16	$122.40	$152.58
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $105.14	Facility		$105.14	$105.14	$105.14
United Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $114.27 / $169.57	Professional		$84.42	$114.27	$169.57