Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.72 / $132.72 / $132.72	Facility		$132.72	$132.72	$132.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $132.72 / $158.36	Professional		$87.07	$132.72	$158.36
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 $78.09 / $140.35 / $305.58	Professional		$78.09	$140.35	$305.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $151.02	Professional		$30.00	$45.00	$151.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.27 / $237.52 / $306.20	Facility		$214.27	$237.52	$306.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $192.11 / $194.37	Professional		$164.36	$192.11	$194.37
United Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $153.41 / $167.09	Professional		$123.16	$153.41	$167.09