Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $84.44 / $84.44	Facility		$84.44	$84.44	$84.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $84.43 / $177.45	Professional		$59.89	$84.43	$177.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $75.00	Facility		$72.00	$72.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $92.15 / $121.49	Professional		$67.80	$92.15	$121.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $116.35 / $143.55	Professional		$94.71	$116.35	$143.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.91 / $144.69 / $179.73	Facility		$128.91	$144.69	$179.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $111.58 / $117.80	Professional		$97.45	$111.58	$117.80
United Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $92.75 / $100.60	Professional		$75.09	$92.75	$100.60