Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $328.02 / $2,771.38	Professional		$234.00	$328.02	$2,771.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $454.00	Facility		$454.00	$454.00	$454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $454.00 / $483.99	Professional		$331.42	$454.00	$483.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.84 / $530.40 / $689.52	Professional		$328.84	$530.40	$689.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $636.20 / $709.53 / $709.53	Facility		$636.20	$709.53	$709.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $404.03 / $508.59 / $762.88	Professional		$404.03	$508.59	$762.88
United Facility/Professional Professional Modifier Low / Median / High Price $283.81 / $362.47 / $464.11	Professional		$283.81	$362.47	$464.11