Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.64 / $263.64 / $263.64	Facility		$263.64	$263.64	$263.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $229.55 / $284.10	Professional		$227.28	$229.55	$284.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.14 / $307.74 / $340.37	Facility		$262.14	$307.74	$340.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Professional		$227.28	$227.28	$227.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $227.28 / $295.46	Professional		$158.97	$227.28	$295.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $349.11 / $448.24 / $624.95	Facility		$349.11	$448.24	$624.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $250.01 / $308.06 / $324.26	Professional		$250.01	$308.06	$324.26
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Professional		$227.28	$227.28	$227.28