Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,412.54	Professional		$537.03	$851.14	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $131.83	Professional		$85.11	$85.11	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $181.97	Professional		$60.26	$75.86	$181.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $154.88 / $1,548.82	Facility		$147.91	$154.88	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $1,548.82	Professional		$147.91	$213.80	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $144.54	Professional		$120.23	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $117.49 / $1,174.90	Facility		$1.20	$117.49	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $870.96	Professional		$69.18	$125.89	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93