Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $132.90 / $972.99	Professional		$114.74	$132.90	$972.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Facility		$211.82	$211.82	$211.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $211.82 / $218.17	Professional		$154.63	$211.82	$218.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $77.44 / $100.78	Professional		$48.06	$77.44	$100.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $138.24 / $186.96	Facility		$138.24	$138.24	$186.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $123.88 / $198.42	Professional		$99.67	$123.88	$198.42
United Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $154.02 / $157.06	Professional		$71.66	$154.02	$157.06