Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.69 / $160.69 / $160.69	Facility		$160.69	$160.69	$160.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $160.69 / $1,176.75	Professional		$138.75	$160.69	$1,176.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $278.10 / $286.44	Professional		$203.01	$278.10	$286.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $93.64 / $121.87	Professional		$58.12	$93.64	$121.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $167.16 / $225.89	Facility		$167.16	$167.16	$225.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $149.79 / $239.66	Professional		$120.52	$149.79	$239.66
United Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $184.57 / $292.17	Professional		$86.65	$184.57	$292.17