Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $46.76 / $46.76	Facility		$46.76	$46.76	$46.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $63.00 / $532.23	Professional		$46.76	$63.00	$532.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $100.43 / $107.06	Professional		$73.31	$100.43	$107.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $108.39 / $140.90	Professional		$67.20	$108.39	$140.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $144.99 / $144.99	Facility		$130.01	$144.99	$144.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $103.93 / $155.88	Professional		$82.57	$103.93	$155.88
United Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $72.43 / $103.90	Professional		$56.71	$72.43	$103.90