Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.04 / $194.04 / $217.47	Facility		$127.04	$194.04	$217.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $127.04 / $185.49	Professional		$114.52	$127.04	$185.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Facility		$192.25	$192.25	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $198.02	Professional		$140.34	$192.25	$198.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.23 / $253.60 / $329.68	Professional		$157.23	$253.60	$329.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $304.18 / $339.24 / $339.24	Facility		$304.18	$339.24	$339.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $243.17 / $364.75	Professional		$193.17	$243.17	$364.75
United Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $153.49 / $189.22	Professional		$120.18	$153.49	$189.22