Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $77.40 / $77.40	Facility		$77.40	$77.40	$77.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $77.40 / $517.86	Professional		$77.40	$77.40	$517.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $120.30	Facility		$120.30	$120.30	$120.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $196.50	Professional		$102.26	$120.30	$196.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $110.97 / $160.05	Professional		$60.00	$110.97	$160.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $162.87 / $164.10 / $177.48	Facility		$162.87	$164.10	$177.48
United Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $84.98 / $122.91	Professional		$84.98	$84.98	$122.91