Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $99.43 / $99.43	Facility		$99.43	$99.43	$99.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $115.16 / $972.99	Professional		$99.43	$115.16	$972.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $192.91	Facility		$192.91	$192.91	$192.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $192.91 / $205.65	Professional		$140.82	$192.91	$205.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.40 / $255.49 / $332.13	Professional		$158.40	$255.49	$332.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $306.45 / $341.78 / $341.78	Facility		$306.45	$341.78	$341.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $244.99 / $367.48	Professional		$194.62	$244.99	$367.48
United Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $152.65 / $180.89	Professional		$120.60	$152.65	$180.89