Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $58.02 / $58.02	Facility		$58.02	$58.02	$58.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $62.67 / $529.45	Professional		$58.02	$62.67	$529.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $210.96	Professional		$85.07	$85.07	$210.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $166.85 / $216.90	Professional		$103.44	$166.85	$216.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $200.13 / $223.20 / $223.20	Facility		$200.13	$223.20	$223.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $159.99 / $239.99	Professional		$127.10	$159.99	$239.99
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $89.87 / $137.63	Professional		$70.37	$89.87	$137.63