Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $94.94 / $94.94	Facility		$94.94	$94.94	$94.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $131.63 / $1,134.03	Professional		$94.94	$131.63	$1,134.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $203.28	Professional		$139.19	$190.69	$203.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $286.93 / $373.00	Professional		$177.89	$286.93	$373.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $344.16 / $383.83 / $383.83	Facility		$344.16	$383.83	$383.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $275.13 / $412.69	Professional		$218.57	$275.13	$412.69
United Facility/Professional Professional Modifier Low / Median / High Price $115.15 / $147.07 / $188.30	Professional		$115.15	$147.07	$188.30