Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $59.73 / $504.68	Professional		$45.25	$59.73	$504.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $89.11	Facility		$89.11	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $94.99	Professional		$65.05	$89.11	$94.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $102.56 / $133.32	Professional		$63.58	$102.56	$133.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $137.19 / $137.19	Facility		$123.01	$137.19	$137.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $98.34 / $147.51	Professional		$78.12	$98.34	$147.51
United Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $70.09 / $82.31	Professional		$63.28	$70.09	$82.31