Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.71 / $200.71 / $200.71	Facility		$200.71	$200.71	$200.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.75 / $216.29	Professional		$173.03	$174.75	$216.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.85 / $220.30 / $251.69	Facility		$193.85	$220.30	$251.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.78 / $173.03 / $222.64	Professional		$120.78	$173.03	$222.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.08 / $330.08 / $460.20	Facility		$257.08	$330.08	$460.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $234.53 / $246.86	Professional		$190.33	$234.53	$246.86
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03