Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Facility		$57.70	$57.70	$57.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $81.58 / $689.21	Professional		$57.70	$81.58	$689.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $111.95	Facility		$111.95	$111.95	$111.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $111.94 / $115.31	Professional		$81.72	$111.94	$115.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $130.79 / $170.02	Professional		$81.08	$130.79	$170.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $174.96 / $174.96	Facility		$156.88	$174.96	$174.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $125.41 / $188.12	Professional		$99.62	$125.41	$188.12
United Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $89.38 / $128.22	Professional		$69.98	$89.38	$128.22