Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $56.83 / $56.83	Facility		$56.83	$56.83	$56.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $105.06 / $574.60	Professional		$56.83	$105.06	$574.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Facility		$121.82	$121.82	$121.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $121.82 / $129.86	Professional		$88.93	$121.82	$129.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $128.81 / $167.45	Professional		$79.86	$128.81	$167.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $172.31 / $172.31	Facility		$154.50	$172.31	$172.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $123.52 / $185.27	Professional		$98.12	$123.52	$185.27
United Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $87.24 / $105.87	Professional		$67.63	$87.24	$105.87