Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.34 / $218.34 / $218.34	Facility		$218.34	$218.34	$218.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $205.71 / $311.08	Professional		$152.13	$205.71	$311.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.52 / $241.87 / $315.91	Professional		$181.52	$241.87	$315.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $144.75 / $188.62	Professional		$114.62	$144.75	$188.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $522.74 / $651.80 / $935.77	Facility		$522.74	$651.80	$935.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $263.93 / $314.99	Professional		$193.17	$263.93	$314.99
United Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $198.90 / $299.26	Professional		$153.60	$198.90	$299.26