Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.30 / $289.30 / $289.30	Facility		$289.30	$289.30	$289.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $289.30 / $289.30	Professional		$289.30	$289.30	$289.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $375.77	Professional		$45.00	$60.00	$375.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $200.97 / $222.78 / $285.45	Facility		$200.97	$222.78	$285.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $408.02 / $429.48	Professional		$331.13	$408.02	$429.48
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $259.31	Professional		$259.31	$259.31	$259.31