Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $166.32 / $166.32	Facility		$166.32	$166.32	$166.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $232.29 / $1,962.56	Professional		$166.32	$232.29	$1,962.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $347.46	Facility		$347.46	$347.46	$347.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $347.46 / $357.88	Professional		$253.65	$347.46	$357.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.73 / $376.99 / $490.08	Professional		$233.73	$376.99	$490.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $452.19 / $504.31 / $504.31	Facility		$452.19	$504.31	$504.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $287.17 / $361.49 / $542.23	Professional		$287.17	$361.49	$542.23
United Facility/Professional Professional Modifier Low / Median / High Price $197.94 / $257.63 / $302.58	Professional		$197.94	$257.63	$302.58