Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.64 / $103.64 / $8,243.57	Facility		$103.64	$103.64	$8,243.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.24 / $121.32	Professional		$89.34	$90.24	$121.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.94 / $176.08 / $202.49	Facility		$155.94	$176.08	$202.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $118.75 / $148.43	Professional		$73.20	$118.75	$148.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $228.89 / $293.88 / $409.74	Facility		$228.89	$293.88	$409.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $121.09 / $127.46	Professional		$98.27	$121.09	$127.46
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34