Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $55.85 / $55.85	Facility		$55.85	$55.85	$55.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $78.95 / $667.11	Professional		$55.85	$78.95	$667.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $144.01	Facility		$144.01	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $144.00 / $148.33	Professional		$105.13	$144.00	$148.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $126.59 / $164.56	Professional		$78.48	$126.59	$164.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.85 / $169.35 / $169.35	Facility		$151.85	$169.35	$169.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $121.39 / $182.08	Professional		$96.43	$121.39	$182.08
United Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $86.51 / $110.77	Professional		$67.73	$86.51	$110.77