Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $59.20 / $59.20	Facility		$59.20	$59.20	$59.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $82.08 / $574.39	Professional		$59.20	$82.08	$574.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $130.02	Professional		$92.15	$126.23	$130.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $134.18 / $174.43	Professional		$83.19	$134.18	$174.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.94 / $179.50 / $179.50	Facility		$160.94	$179.50	$179.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $128.66 / $192.99	Professional		$102.21	$128.66	$192.99
United Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $91.70 / $117.41	Professional		$71.80	$91.70	$117.41