Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.79 / $62.79 / $62.79	Facility		$62.79	$62.79	$62.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $62.79 / $1,408.14	Professional		$62.79	$62.79	$1,408.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $125.77	Professional		$102.00	$120.00	$125.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $755.40 / $1,100.60 / $1,528.61	Professional		$755.40	$1,100.60	$1,528.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,461.43 / $1,629.87 / $1,629.87	Facility		$1,461.43	$1,629.87	$1,629.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,168.29 / $1,168.29 / $1,752.44	Professional		$1,168.29	$1,168.29	$1,752.44
United Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $69.12 / $560.52	Professional		$62.79	$69.12	$560.52