Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $56.16 / $56.16	Facility		$56.16	$56.16	$56.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $65.04 / $549.51	Professional		$56.16	$65.04	$549.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $226.13	Professional		$81.92	$81.92	$226.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $144.28 / $187.56	Professional		$89.45	$144.28	$187.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $173.06 / $193.01 / $193.01	Facility		$173.06	$193.01	$193.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $138.35 / $207.52	Professional		$109.91	$138.35	$207.52
United Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $86.98 / $102.16	Professional		$66.83	$86.98	$102.16