Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.10 / $116.10 / $4,576.63	Facility		$116.10	$116.10	$4,576.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $101.09 / $125.11	Professional		$100.09	$101.09	$125.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.41 / $135.07 / $147.25	Facility		$113.41	$135.07	$147.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Professional		$100.09	$100.09	$100.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $100.30 / $131.13	Professional		$60.00	$100.30	$131.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $153.46 / $197.04 / $274.72	Facility		$153.46	$197.04	$274.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $135.66 / $142.80	Professional		$110.10	$135.66	$142.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Professional		$100.09	$100.09	$100.09